{"chunk_id":-1,"reporting_entity_name":"PacificSource Health Plans","reporting_entity_type":"Health Insurance Issuer","plan_name":"WA Navigator Gold (0)","plan_id_type":"ein","last_updated_on":"2026-06-10","version":"2.0.1","in_network":[{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJIF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFRE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.45,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCTA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab plus Extensive, ADL Index 11-16/30-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMX32","description":"Medium Rehab plus Extensive, ADL Index 11-16/30-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, power standing system, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2301","description":"Wheelchair accessory, power standing system, any type","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":59.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":59.84,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":59.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Isomed 8472-20/35/60","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1337","description":"Isomed 8472-20/35/60","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab plus Extensive , ADL Index 11-16/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVX44","description":"Very High Rehab plus Extensive , ADL Index 11-16/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cancer treatment plan change","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0354","description":"Cancer treatment plan change","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":733.65,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":239.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDUA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DCYA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHVD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BICD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Orbiter St Steerable Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2000","description":"Orbiter St Steerable Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 11-14/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CD135","description":"Clinically Complex , ADL Index 11-14/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":391.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":913.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Noga/Navi-Star Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1047","description":"Noga/Navi-Star Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1438.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1438.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiac Injury Panel;w Cpk/Ldh Isoenzyme","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80064","description":"Cardiac Injury Panel;w Cpk/Ldh Isoenzyme","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHGF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1478.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":927.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DCQF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Nose & Accessory Sinuses; Bx, Soft Tissue","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00164","description":"Anesthesia, Proc On Nose & Accessory Sinuses; Bx, Soft Tissue","negotiated_rates":[{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":247.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLTD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OASA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBAB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1743.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1743.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1743.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1743.95,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":594.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLVE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Undescended Testis, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00924","description":"Anesthesia, Proc, Male Genitalia(W/Open Urethral Proc); Undescended Testis, Unilat/Bilat","negotiated_rates":[{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":247.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ext Ocular Photography W/Interpretation & Report, Medical Progress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"92285","description":"Ext Ocular Photography W/Interpretation & Report, Medical Progress","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.26,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":4.11,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":23.26,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":4.11,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LAQB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medical/Surgical Supplies and Devices - Non Sterile Supply","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0271","description":"Medical/Surgical Supplies and Devices - Non Sterile Supply","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCTA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IACB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGEC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":7.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DAYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":584.9,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFLF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EGMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 6-10/TRICARE Post 360-day assessments with 30-day interval","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CC18X","description":"Clinically Complex , ADL Index 6-10/TRICARE Post 360-day assessments with 30-day interval","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCNE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 6-10/5-day or readmission return AND Medicare short stay assessment AND SCSA OR 5-day or readmission return AND Medicare short stay assessment AND","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVB17","description":"Very High Rehab , ADL Index 6-10/5-day or readmission return AND Medicare short stay assessment AND SCSA OR 5-day or readmission return AND Medicare short stay assessment AND","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAVA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":149.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHVC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIVB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHCC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCWC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHOD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ADHF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.21,"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":57.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab plus Extensive , ADL Index 11-16/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUX46","description":"Ultra High Rehab plus Extensive , ADL Index 11-16/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLFC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":20.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLFF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":304.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Foster Care, Therapeutic, Child, Per Month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5146","description":"Foster Care, Therapeutic, Child, Per Month","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":467.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBCA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCEB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAMD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, visco-3, for intra-articular injection, per dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7333","description":"Hyaluronan or derivative, visco-3, for intra-articular injection, per dose","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, immune globulin (Cuvitru), 100 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1555","description":"Injection, immune globulin (Cuvitru), 100 mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAJD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAVD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JABE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LASA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":22.23,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":22.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MLIB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGDC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCFF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Intracranial Proc; Electrocoagulation, Intracranial Nerve","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00222","description":"Anesthesia, Intracranial Proc; Electrocoagulation, Intracranial Nerve","negotiated_rates":[{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":345.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"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":1816.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":10238.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":303.11,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.88,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":520.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":276.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9274","description":"External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 0-1/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CA215","description":"Clinically Complex , ADL Index 0-1/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAIA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":181.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBPF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vaxcelchronic Dialysis Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1037","description":"Vaxcelchronic Dialysis Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OIVB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemolysins & Agglutinins; Auto, Screen, Each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"86940","description":"Hemolysins & Agglutinins; Auto, Screen, Each","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.82,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.27,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":730.41,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":730.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AITF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHLF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFHE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1909.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OIJD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":544.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":544.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":137.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":137.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":20.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICAC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HBRB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Supra SDRM, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2011","description":"Supra SDRM, per sq cm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHXD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MHCA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ketorolac Tromethamine Inj","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1885","description":"Ketorolac Tromethamine Inj","negotiated_rates":[{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLAE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHFE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JINF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDHE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2516.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2516.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GICA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MIMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJCB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Jewel Af 7250 Defib","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2805","description":"Jewel Af 7250 Defib","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHUC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":16.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":16.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":16.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHME0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":405.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":587.67,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":53.42,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":53.42,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFVB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IIUB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 6-10/TRICARE Post 360-day assessments with 30-day interval","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHB8X","description":"High Rehab , ADL Index 6-10/TRICARE Post 360-day assessments with 30-day interval","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":188.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":140.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":188.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":140.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":58.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDHB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MAHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":10.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":39.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":39.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PBWF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":416.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Protein,Total, & Albumin/ Globulin Ratio","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84170","description":"Protein,Total, & Albumin/ Globulin Ratio","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IAMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAKD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHVA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Solid Skin Barrier 6x6","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"A5121","description":"Solid Skin Barrier 6x6","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Topotecan oral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8705","description":"Topotecan oral","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mechlorethamine Hcl Inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9230","description":"Mechlorethamine Hcl Inj","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHKA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 6-10/TRICARE 210-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HC28D","description":"Special Care High , ADL Index 6-10/TRICARE 210-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 0-10/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLA44","description":"Low Rehab, ADL Index 0-10/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.56,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1798.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1798.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":134.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":215.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":81.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ADAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":276.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bard Eptfe: 50/75sqcm-1,2mm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C6036","description":"Bard Eptfe: 50/75sqcm-1,2mm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Erythro Lactobionate /500 Mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1364","description":"Erythro Lactobionate /500 Mg","negotiated_rates":[{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":96.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":64.62,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":142.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":142.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DGSF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":188.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":140.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":188.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":140.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MLIF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NITF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BEME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEKD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACUA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OIIB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":523.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":618.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood Typing;abo Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86080","description":"Blood Typing;abo Only","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 6-10/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CC121","description":"Clinically Complex , ADL Index 6-10/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDKA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":390.74,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.56,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1340.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1340.27,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBFA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":"HCPCS","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":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":597.91,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":597.91,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":597.91,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PCRB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABCE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement Bulb For Therapeutic Light Box, Tabletop Model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4634","description":"Replacement Bulb For Therapeutic Light Box, Tabletop Model","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGTD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCJF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAIA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hydroxycortico,17-;urine,Fluorometr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83496","description":"Hydroxycortico,17-;urine,Fluorometr","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CATD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Services Provided As Part Of","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9990","description":"Services Provided As Part Of","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDVA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mometasone furoate sinus implant, 370 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1090","description":"Mometasone furoate sinus implant, 370 micrograms","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGAB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODDC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAND0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inj Enoxaparin Sodium","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1650","description":"Inj Enoxaparin Sodium","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, irinotecan liposome, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9205","description":"Injection, irinotecan liposome, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":526.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":526.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":526.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":526.23,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1943.27,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1363.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDKB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":306.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MFBC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBXD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCVC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/Stand-alone EOT OMRA reporting ROT or EOT OMRA reporting ROT w/ unscheduled OBRA SCSA or SCPA or CCA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES20A","description":"Extensive Services , ADL Index 2-16/Stand-alone EOT OMRA reporting ROT or EOT OMRA reporting ROT w/ unscheduled OBRA SCSA or SCPA or CCA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, canakinumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0638","description":"Injection, canakinumab, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BACB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEPD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGTC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDMD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 0-1/SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CA205","description":"Clinically Complex , ADL Index 0-1/SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CPM device, other than knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0936","description":"CPM device, other than knee","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LBYE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGKB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 11-14/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HD215","description":"Special Care High , ADL Index 11-14/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 11-14/TRICARE 360-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PD28I","description":"Reduced Physical Function , ADL Index 11-14/TRICARE 360-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JACA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":56.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCNA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PEYB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 0-5/TRICARE 270-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHA8F","description":"High Rehab , ADL Index 0-5/TRICARE 270-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGND0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bupropion Hcl Sustained Release Tablet, 150 Mg, Per Bottle Of 60 Table","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0106","description":"Bupropion Hcl Sustained Release Tablet, 150 Mg, Per Bottle Of 60 Table","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"I131 tositumomab, dx","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9544","description":"I131 tositumomab, dx","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":711.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Pelvic Exteneration","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00848","description":"Anesthesia, Intraperitoneal Proc, Lower Abdomen, W/Laparoscopy; Pelvic Exteneration","negotiated_rates":[{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":468.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":468.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":444.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":468.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":99.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCGA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":519.79,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1437.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1437.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DIOE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AFUB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":101.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MEBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BEUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3300.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 0-1/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CA121","description":"Clinically Complex , ADL Index 0-1/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAPE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 11-14/90-day AND EOT OMRA OR 90-day AND EOT OMRA AND SCSA OR 90-day AND EOT OMRA AND SCPA OR 90-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HD154","description":"Special Care High , ADL Index 11-14/90-day AND EOT OMRA OR 90-day AND EOT OMRA AND SCSA OR 90-day AND EOT OMRA AND SCPA OR 90-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCUD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1361.98,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":17.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 11-16/60-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHC40","description":"High Rehab , ADL Index 11-16/60-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DIQA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEAC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PGRF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBCA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab plus Extensive , ADL Index 2-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHL45","description":"High Rehab plus Extensive , ADL Index 2-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.48,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":159.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flortaucipir F-18 injection, diagnostic, 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9601","description":"Flortaucipir F-18 injection, diagnostic, 1 mCi","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCHE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 11-14/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare shor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CD213","description":"Clinically Complex , ADL Index 11-14/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare shor","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBVC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 0-5/90-day AND EOT OMRA OR 90-day AND EOT OMRA AND SCSA OR 90-day AND EOT OMRA AND SCPA OR 90-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUA54","description":"Ultra High Rehab , ADL Index 0-5/90-day AND EOT OMRA OR 90-day AND EOT OMRA AND SCSA OR 90-day AND EOT OMRA AND SCPA OR 90-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MFIF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLFE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEPE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IDLA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCRA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGLD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Smoking Cessation Gum","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4995","description":"Smoking Cessation Gum","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":194.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PDQB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inj perflutren lip micros, ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9957","description":"Inj perflutren lip micros, ml","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHRE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prep Ak Ischial Thermo Mold","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"L5580","description":"Prep Ak Ischial Thermo Mold","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3126.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DGSA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HIRD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJNF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEMD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":2637.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1864.07,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2509.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":2509.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAVE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":53.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":21.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":75.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAOA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFFB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AFLA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGIF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, gemtuzumab ozogamicin, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9203","description":"Injection, gemtuzumab ozogamicin, 0.1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1078.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DFSD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hydralazine Hcl Injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0360","description":"Hydralazine Hcl Injection","negotiated_rates":[{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.6,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":44.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":44.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hyaluronidase Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3470","description":"Hyaluronidase Injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDKD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLCF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDNF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1394.54,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDLF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":758.98,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":246.92,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGOD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBCB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PDYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHFF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JELC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Major Vessels, Neck; Simple Ligation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00352","description":"Anesthesia, Proc On Major Vessels, Neck; Simple Ligation","negotiated_rates":[{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":296.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":312.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":312.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":312.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":229.94,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":229.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":43.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KISD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFDA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 11-14/90-day AND SCSA OR 90-day AND SCPA OR 90-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PD151","description":"Reduced Physical Function , ADL Index 11-14/90-day AND SCSA OR 90-day AND SCPA OR 90-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CARA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cp Rv Reference Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2101","description":"Cp Rv Reference Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DCWC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 2-5/TRICARE 330-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HB18H","description":"Special Care High , ADL Index 2-5/TRICARE 330-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFJE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHWC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AAIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":102.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":127.25,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":119.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":127.25,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":119.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2076.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, collagenase, clostridium histolyticum, 0.01 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0775","description":"Injection, collagenase, clostridium histolyticum, 0.01 mg","negotiated_rates":[{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":113.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MIMA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGCE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHHF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHNC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":183.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHFA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBTF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bard Eptfe: 884 Cm--1mm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C6039","description":"Bard Eptfe: 884 Cm--1mm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":317.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FANA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Catheter, intravascular ultrasound","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1753","description":"Catheter, intravascular ultrasound","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Celsius Abln Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2012","description":"Celsius Abln Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1120.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 0-10/60-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLA40","description":"Low Rehab, ADL Index 0-10/60-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0554","description":"Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 0-5/60-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUA40","description":"Ultra High Rehab , ADL Index 0-5/60-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":119.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":107.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIXD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAQE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDXF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MFLD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Osteotomy/Osteoplasty, Tibia &/Or Fibula","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01484","description":"Anesthesia, Open Proc, Bones, Lower Leg/Ankle/Foot; Osteotomy/Osteoplasty, Tibia &/Or Fibula","negotiated_rates":[{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":247.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":285.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":285.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFIB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKWC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PEOD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CERC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ECDB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":274.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBLA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEAB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBHB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":890.03,"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":[7],"negotiated_prices":[{"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"},{"negotiated_type":"fee schedule","negotiated_rate":4629.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":658.48,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":508.93,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":139.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":94.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFFA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":391.55,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2919.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteoarthritis M <49.50 and A <74.50.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1204","description":"Osteoarthritis M <49.50 and A <74.50.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCBE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, zenocutuzumab-zbco, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9382","description":"Injection, zenocutuzumab-zbco, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.91,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":416.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHGB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ADHE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":130.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGDA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":207.31,"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":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":584.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":584.9,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":528.23,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":528.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IFHD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":324.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":324.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9035.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIXE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKFD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":369.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HEOA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MEME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suction pump, home model, portable, for use on wounds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0743","description":"Suction pump, home model, portable, for use on wounds","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ADCA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGTB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PAWE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PESC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":93.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JCGF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.66,"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Default, /90-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AAA52","description":"Default, /90-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBUA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":809.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGPB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCKC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":57.49,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1195.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HBYA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFNC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":842.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLFC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1110.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIFF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAJD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":315.97,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":668.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFVA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient responded \"completely true\" for the question of \"Patient felt this provider and team put my best interests first when making recommendations about my care\"","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1247","description":"Patient responded \"completely true\" for the question of \"Patient felt this provider and team put my best interests first when making recommendations about my care\"","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUC52","description":"Ultra High Rehab , ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBDE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"DNA analysis for apoe epilson 4 allele for susceptibility to Alzheimer's disease","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3852","description":"DNA analysis for apoe epilson 4 allele for susceptibility to Alzheimer's disease","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODCB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAFC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EITE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDKF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGLE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1757.95,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1558.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGRC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFWB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEGD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCLE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 0-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMA15","description":"Medium Rehab , ADL Index 0-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fatty Acids, Blood; Esterified","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82720","description":"Fatty Acids, Blood; Esterified","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JABD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCWE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fibrinolysins; with Eaca Control","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85392","description":"Fibrinolysins; with Eaca Control","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHIC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAXA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGRE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIEA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PFOD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1875.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1875.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":111.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHPC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1936.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JALE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection Naltrexone depot form 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2315","description":"Injection Naltrexone depot form 1 MG","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBUC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LGWE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":424.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":692.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 11-14/EOT OMRA OR EOT OMRA AND SCSA OR EOT OMRA AND SCPA OR EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HD204","description":"Special Care High , ADL Index 11-14/EOT OMRA OR EOT OMRA AND SCSA OR EOT OMRA AND SCPA OR EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, nivolumab, 2 mg and hyaluronidase-nvhy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9289","description":"Injection, nivolumab, 2 mg and hyaluronidase-nvhy","negotiated_rates":[{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BB216","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Multi-vitamin nos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9153","description":"Multi-vitamin nos","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFDB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":674.56,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1201.58,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":441.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBXF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab plus Extensive , ADL Index 2-10/60-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUL42","description":"Ultra High Rehab plus Extensive , ADL Index 2-10/60-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLOF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCTC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":674.15,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":674.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBDC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":52.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1343.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2795.51,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2891.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDLA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Apis, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2010","description":"Apis, per sq cm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCGB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PJQD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AAHF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGDF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":6.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODSC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DAQD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":391.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IITE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PBRF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHVD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 0-5/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHA35","description":"High Rehab , ADL Index 0-5/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABAC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":948.32,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":756.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCQD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BEEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICUB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.29,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":21.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":580.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1152.88,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":456.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":456.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OANC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home hospice case 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0271","description":"Home hospice case 30 days","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Microcytic Anemia Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80085","description":"Microcytic Anemia Panel","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ADID0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Angstrom Md V-190hv3 Sc Def","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1357","description":"Angstrom Md V-190hv3 Sc Def","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 15-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CE201","description":"Clinically Complex , ADL Index 15-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGDF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":11.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDVC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MILE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBCD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":744.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 11-14/90-day AND EOT OMRA OR 90-day AND EOT OMRA AND SCSA OR 90-day AND EOT OMRA AND SCPA OR 90-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CD254","description":"Clinically Complex , ADL Index 11-14/90-day AND EOT OMRA OR 90-day AND EOT OMRA AND SCSA OR 90-day AND EOT OMRA AND SCPA OR 90-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1280.37,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2118.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lymphocyte Immune Globulin","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7504","description":"Lymphocyte Immune Globulin","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":159.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IAAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suicide risk based on their clinician's evaluation or a clinician-rated tool","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1361","description":"Suicide risk based on their clinician's evaluation or a clinician-rated tool","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dialysis access system (implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1881","description":"Dialysis access system (implantable)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":87.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":87.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":92.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":87.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":92.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GANA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pegademase bovine, 25 iu","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2504","description":"Pegademase bovine, 25 iu","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1307.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1142.48,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"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":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIXE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGLB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OIIF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tc 99m Disofenin, Per Vial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1205","description":"Tc 99m Disofenin, Per Vial","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDUD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MEBD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":301.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":301.35,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIIC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFBC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFBF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PKWC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 6-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HC145","description":"Special Care High , ADL Index 6-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 11-14/TRICARE 120-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HD18A","description":"Special Care High , ADL Index 11-14/TRICARE 120-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab plus Extensive , ADL Index 11-16/14-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVX22","description":"Very High Rehab plus Extensive , ADL Index 11-16/14-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HFRD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODTE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DFSC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor >29.25 & Motor <31.25.,comorbidity in tier 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0504","description":"Non-traumatic spinal cord injury with Motor >29.25 & Motor <31.25.,comorbidity in tier 3","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/14-day AND SOT OMRA (not Medicare short stay) and EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BB225","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/14-day AND SOT OMRA (not Medicare short stay) and EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DFOA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":497.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFJB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DFYD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BEAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":57.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1105.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1105.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":590.54,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":88.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unknown","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0574","description":"Unknown","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OADF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LIQF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":192.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":192.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DBOC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Art pancreas ext receiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1037","description":"Art pancreas ext receiver","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Irinotecan Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9206","description":"Irinotecan Injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGGB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Foot Arch Supp Premold Metat","billing_code_type":"CPT","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":63.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCFF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3288.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBKC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":108.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCHE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJVF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAUB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JCDC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10345.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":528.18,"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":96.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1358.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHLE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":59.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":59.84,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":59.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJVF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGTD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGBD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":502.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":502.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":712.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":712.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":712.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":712.4,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1523.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1523.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGMD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab plus Extensive , ADL Index 11-16/TRICARE 330-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVX8H","description":"Very High Rehab plus Extensive , ADL Index 11-16/TRICARE 330-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OIME0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":278.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cpk, Blood; Colorimetric","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82555","description":"Cpk, Blood; Colorimetric","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Leucine Aminopeptidase (Lap)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"83670","description":"Leucine Aminopeptidase (Lap)","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.99,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":403.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":403.59,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":22.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":19.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFLA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIFF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PHYC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":245.62,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":160.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":84.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":289.44,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2120.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EGUB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 0-1/TRICARE 180-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PA28C","description":"Reduced Physical Function , ADL Index 0-1/TRICARE 180-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEFA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":15.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Intraoral Proc, W/Bx; Repair, Cleft Palate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00172","description":"Anesthesia, Intraoral Proc, W/Bx; Repair, Cleft Palate","negotiated_rates":[{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":345.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LEWC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":427.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IHLF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":817.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEED0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCWC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGNB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCGF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1179.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CICA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EACC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":789.53,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":21.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":311.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, canakinumab, 1 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0638","description":"Injection, canakinumab, 1 mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":141.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":212.4,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHHE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEVD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":11.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKLA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":427.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":427.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":427.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":427.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":427.26,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 11-14/5-day or readmission return.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PD110","description":"Reduced Physical Function , ADL Index 11-14/5-day or readmission return.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"External upper limb tremor stimulator of the peripheral nerves of the wrist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1018","description":"External upper limb tremor stimulator of the peripheral nerves of the wrist","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1913.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1149.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HAQE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1900.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":656.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 2-5/90-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PB150","description":"Reduced Physical Function , ADL Index 2-5/90-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":49.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":36.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":12.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":49.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":12.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFUC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAWD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infusion pump, non-programmable, permanent (implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1891","description":"Infusion pump, non-programmable, permanent (implantable)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHBC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":613.45,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.89,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":6.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1850.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1850.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.54,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":66.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGHE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDAC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCGE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIGD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"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"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":169.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":169.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":169.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1374.11,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":561.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":894.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGRC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vinorelbine tar,brand","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9440","description":"Vinorelbine tar,brand","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDGC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Foster Care, Therapeutic, Child, Per Diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5145","description":"Foster Care, Therapeutic, Child, Per Diem","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PERA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGBA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MIHA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.79,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":24.79,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":15.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AFMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHVB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":169.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":169.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLNA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Terminal Device Model #7lo","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6730","description":"Terminal Device Model #7lo","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":128.82,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":759.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":759.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":759.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":759.53,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":440.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":440.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":440.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":440.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLEC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGOE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2034.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4157.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Functional status was not measured by the Oxford Knee Score or the knee injury and osteoarthritis outcome score joint replacement at one year (9 to 15 months) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1141","description":"Functional status was not measured by the Oxford Knee Score or the knee injury and osteoarthritis outcome score joint replacement at one year (9 to 15 months) postoperatively","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1372.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1372.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIFD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFSC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DDSC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAFF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Facial Augmentation Implant Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5925","description":"Facial Augmentation Implant Prosthesis","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intravenous infusion for therapy/diagnosis; each additional hour","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8951","description":"Intravenous infusion for therapy/diagnosis; each additional hour","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.14,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"External Ocular Photography W/Interpretation & Report, Medical Progress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"92285","description":"External Ocular Photography W/Interpretation & Report, Medical Progress","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.26,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":4.11,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":23.26,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":4.11,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PHRA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFAE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812","description":"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy","negotiated_rates":[{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":247.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IHIF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDLF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHAC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":86.03,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":535.46,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":25.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 0-1/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CA136","description":"Clinically Complex , ADL Index 0-1/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2030.0,"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":"HCPCS","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":127.43,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":127.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JENE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 6-10/5-day or readmission return AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LC212","description":"Special Care Low , ADL Index 6-10/5-day or readmission return AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ECEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHTB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFJB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1115.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EHTC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":318.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBEE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFQB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 2-5/TRICARE 240-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PB18E","description":"Reduced Physical Function , ADL Index 2-5/TRICARE 240-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGFD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 11-14/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CD206","description":"Clinically Complex , ADL Index 11-14/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medi","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBRA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":921.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDSC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MHLE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDQA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIGE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDPB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHYF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Nocardia","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"86744","description":"Antibody; Nocardia","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.91,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LISF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CECF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 15-16/60-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CE240","description":"Clinically Complex , ADL Index 15-16/60-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NANA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab plus Extensive, ADL Index 2-10/OBRA assessment used for PPS (Not combined with any PPS assessment) when Part A eligibility unknown at time of assessment due to on","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RML60","description":"Medium Rehab plus Extensive, ADL Index 2-10/OBRA assessment used for PPS (Not combined with any PPS assessment) when Part A eligibility unknown at time of assessment due to on","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFND0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":104.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":104.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bestent Over-The-Wire 18mm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C5042","description":"Bestent Over-The-Wire 18mm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JCKF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDDA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 15-16/TRICARE 300-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PE28G","description":"Reduced Physical Function , ADL Index 15-16/TRICARE 300-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 6-10/SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PC205","description":"Reduced Physical Function , ADL Index 6-10/SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 11-14/Stand-alone COT OMRA whether or not combined w/ unscheduled OBRA SCSA or SCPA or CCA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PD10D","description":"Reduced Physical Function , ADL Index 11-14/Stand-alone COT OMRA whether or not combined w/ unscheduled OBRA SCSA or SCPA or CCA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":16.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":52.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFTC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AHAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LGWC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FETB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Seat Lift For Pt Furn-Electr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0628","description":"Seat Lift For Pt Furn-Electr","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIUC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FATC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home management of preterm premature rupture of membranes (pprom)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9209","description":"Home management of preterm premature rupture of membranes (pprom)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHEE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99999.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":185.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHTF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OABA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PGWB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGXB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCYF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1771.21,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JELA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia for incomplete or missed abortion procedures","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01965","description":"Anesthesia for incomplete or missed abortion procedures","negotiated_rates":[{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 15-16/90-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HE150","description":"Special Care High , ADL Index 15-16/90-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICAB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":829.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGVC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCVD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":4.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JATE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKCA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Default, /30-day AND EOT OMRA OR 30-day AND EOT OMRA AND SCSA OR 30-day AND EOT OMRA AND SCPA OR 30-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AAA34","description":"Default, /30-day AND EOT OMRA OR 30-day AND EOT OMRA AND SCSA OR 30-day AND EOT OMRA AND SCPA OR 30-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":717.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGCB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":87.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":87.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":92.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":87.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":92.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel, when performed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9772","description":"Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel, when performed","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":445.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCHC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JATF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":49.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":36.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":12.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":49.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":12.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGUE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIDE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1052.03,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":93.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":93.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 6-10/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare short","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HC213","description":"Special Care High , ADL Index 6-10/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare short","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEJC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1340.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1340.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":141.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDND1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":212.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab plus Extensive , ADL Index 2-10/TRICARE 150-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVL8B","description":"Very High Rehab plus Extensive , ADL Index 2-10/TRICARE 150-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIPB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBBC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBLD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KECF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.2,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":30.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFLB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rheumatoid, other arthritis with Motor<26.15, comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1303","description":"Rheumatoid, other arthritis with Motor<26.15, comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":245.62,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":565.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGVF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":77.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":77.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEXB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MEAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 2-5/90-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LB150","description":"Special Care Low , ADL Index 2-5/90-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":593.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGJF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBFA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGPE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCTD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HHSE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAYD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":149.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.24,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4469.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IDAC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIJD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.52,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":556.77,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":354.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":354.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 11-14/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CD145","description":"Clinically Complex , ADL Index 11-14/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.68,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.19,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBDE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PASF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":672.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LGQE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BEJC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":"HCPCS","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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.87,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.98,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFVB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKHF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.57,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":14.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCTD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFEC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCIE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sq01: Lead","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1302","description":"Sq01: Lead","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pulmonary with Motor >39.05 & Motor <49.25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1502","description":"Pulmonary with Motor >39.05 & Motor <49.25.,without comorbidities","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCSF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BEXD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAIE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEXA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHGC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGRB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3599.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3599.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revascularization, endovascular, tibial/peroneal artery; w/ intravascular lithotripsy and transluminal stent placement, and atherectomy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9775","description":"Revascularization, endovascular, tibial/peroneal artery; w/ intravascular lithotripsy and transluminal stent placement, and atherectomy","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thyroid Panel;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80070","description":"Thyroid Panel;","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DCQC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 11-14/TRICARE 360-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LD18I","description":"Special Care Low , ADL Index 11-14/TRICARE 360-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHGB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGAE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIKB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIPE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":285.02,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":183.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFQF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PermeaDerm C, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2018","description":"PermeaDerm C, per sq cm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":12.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDCA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":278.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EHUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 11-14/60-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PD140","description":"Reduced Physical Function , ADL Index 11-14/60-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":103.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":103.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LGYC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIXC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBAE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1146.5,"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":127.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":127.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":127.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCAC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBFF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBOD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":4.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLXE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGBB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIKE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGXA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 11-16/30-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 30-day AND SOT OMRA (not","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVC33","description":"Very High Rehab , ADL Index 11-16/30-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 30-day AND SOT OMRA (not","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Guidewire, Hi-Torque14/18/35","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1365","description":"Guidewire, Hi-Torque14/18/35","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EGID0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BB135","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":246.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":246.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AAUC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFTF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDCB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBBF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFWE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBTB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":441.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EHBA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EHMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABDB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2323.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PESB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBNA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":393.96,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":373.1,"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, 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HGWC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Raptur, Ninja Ptca Dil Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1939","description":"Raptur, Ninja Ptca Dil Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AIDA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIJE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EEID1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHVB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":331.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":22.81,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":583.3,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":36.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CALC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHVF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LBWA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":269.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Miscellaneous with Motor>49.15, comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2001","description":"Miscellaneous with Motor>49.15, comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IHEF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PDYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cath plcmt in coronary artery(ies) for CAG w/ lt heart cath, cath plcmt in byps graft(s) w/ byps graft angiography w/ endoluminal imag of init coronary vessel/graft","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7525","description":"Cath plcmt in coronary artery(ies) for CAG w/ lt heart cath, cath plcmt in byps graft(s) w/ byps graft angiography w/ endoluminal imag of init coronary vessel/graft","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHJB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FINB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":124.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":216.68,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1726.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDTB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGJE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFWB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3350.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DARB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEJC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCLB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1192.33,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient did not respond to the question of \"Patient felt this provider and team put my best interests first when making recommendations about my care\"","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1240","description":"Patient did not respond to the question of \"Patient felt this provider and team put my best interests first when making recommendations about my care\"","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":76.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":566.82,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1354.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1354.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1354.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PDOE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immediate postsurgical fitting: application of rigid dressing, fitting alignment, suspension of components, and one cast change for partial hand including fingers","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6037","description":"Immediate postsurgical fitting: application of rigid dressing, fitting alignment, suspension of components, and one cast change for partial hand including fingers","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEVE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Quality care in mental health and substance use disorders MIPS value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1369","description":"Quality care in mental health and substance use disorders MIPS value pathway","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor >51.35.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0501","description":"Non-traumatic spinal cord injury with Motor >51.35.,comorbidity in tier 1","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBMA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1287.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCYE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 11-16/PPS 30 day combined w/ both an SOT OMRA (not short stay) and a COT OMRA reporting ROT AND may be combined w/ any of the following, unschedul","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUC3D","description":"Ultra High Rehab , ADL Index 11-16/PPS 30 day combined w/ both an SOT OMRA (not short stay) and a COT OMRA reporting ROT AND may be combined w/ any of the following, unschedul","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AADD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODIF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHKD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LISE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient Convenience Items - Beauty Shop/Barber","billing_code_type":"RC","billing_code_type_version":"2026","billing_code":"0998","description":"Patient Convenience Items - Beauty Shop/Barber","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":0.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ADLC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":470.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEXA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHHF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Constellation Diag Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2001","description":"Constellation Diag Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHHA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICUA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1168.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PGWD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Other orthopedic with Motor >44.75.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0901","description":"Other orthopedic with Motor >44.75.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBID1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ECDC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":208.64,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2392.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wallgraft Trach Sys 20/30/50","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C5282","description":"Wallgraft Trach Sys 20/30/50","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 11-14/TRICARE 240-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CD28E","description":"Clinically Complex , ADL Index 11-14/TRICARE 240-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEHE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HBQD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFNE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":524.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAQD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAHC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":317.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":317.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BILC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clot.Inhibitors/Anticoagulants;ptt Inhib","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85341","description":"Clot.Inhibitors/Anticoagulants;ptt Inhib","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PKRD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CELF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDPA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients who do not have a documented exam performed for recurrence of melanoma or no documentation within the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1390","description":"Patients who do not have a documented exam performed for recurrence of melanoma or no documentation within the performance period","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IFMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":123.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":81.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBJF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":84.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":112.16,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":72.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIKA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PESF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PFYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGJA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PFOF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2907.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AIHD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Spinecath Xl Catheter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2606","description":"Spinecath Xl Catheter","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AIIC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBTD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GASD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLTB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients who did not have a net increase in PAM score of at least 3 points within a 4 to 12 month period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1349","description":"Patients who did not have a net increase in PAM score of at least 3 points within a 4 to 12 month period","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AHDC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MIEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFNA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":244.42,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":528.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab plus Extensive, ADL Index 2-10/14-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RML20","description":"Medium Rehab plus Extensive, ADL Index 2-10/14-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGOB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHNA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IIIB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLCE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGOD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAGA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":882.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/TRICARE 150-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BB18B","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/TRICARE 150-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHSF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":153.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":260.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":107.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Catheter, pressure-generating, (e.g., one-way valve, intermittently occlusive)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1982","description":"Catheter, pressure-generating, (e.g., one-way valve, intermittently occlusive)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFCA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACHB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, gadolinium based magnetic resonance contrast agent, not otherwise specified, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9579","description":"Injection, gadolinium based magnetic resonance contrast agent, not otherwise specified, per ml","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GATB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":413.66,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":427.33,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":427.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 15-16/TRICARE 120-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CE18A","description":"Clinically Complex , ADL Index 15-16/TRICARE 120-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Comprehensive community support services, per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H2016","description":"Comprehensive community support services, per diem","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDHC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3675.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":859.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIFE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDCC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCLC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFXA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2435.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 0-5/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUA46","description":"Ultra High Rehab , ADL Index 0-5/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGMA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":307.93,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":238.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":69.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 0-5/SOT OMRA (not Medicare short stay) AND SCSA OR SOT OMRA (not Medicare short stay) AND SCPA OR SOT OMRA (not Medicare short stay) and CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUA03","description":"Ultra High Rehab , ADL Index 0-5/SOT OMRA (not Medicare short stay) AND SCSA OR SOT OMRA (not Medicare short stay) AND SCPA OR SOT OMRA (not Medicare short stay) and CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIHE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGGA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHLF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":114.62,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":490.44,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":14.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":763.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAJB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PJRE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":108.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKLC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBBF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LBYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJAB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 0-1/14-day AND SOT OMRA (not Medicare short stay) and EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CA225","description":"Clinically Complex , ADL Index 0-1/14-day AND SOT OMRA (not Medicare short stay) and EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Back school, per visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9117","description":"Back school, per visit","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHNB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFCD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODXE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":114.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":127.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":127.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":114.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHBF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFCF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DEOC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":479.18,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":241.6,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.42,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":20.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BEGA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHQB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCSE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laronidase injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1931","description":"Laronidase injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGHF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Alkaloids, Tissue; Screening","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82095","description":"Alkaloids, Tissue; Screening","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 2-5/TRICARE 240-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CB18E","description":"Clinically Complex , ADL Index 2-5/TRICARE 240-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIRD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":104.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":20.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MADB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAVB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":8.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":586.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/60-day AND SCSA OR 60-day AND SPCA OR 60-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES241","description":"Extensive Services , ADL Index 2-16/60-day AND SCSA OR 60-day AND SPCA OR 60-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IIUE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab plus Extensive, ADL Index 11-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMX01","description":"Medium Rehab plus Extensive, ADL Index 11-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 2-5/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CB126","description":"Clinically Complex , ADL Index 2-5/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Buprenorphine Hydrochloride, 0.1 Mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0592","description":"Injection, Buprenorphine Hydrochloride, 0.1 Mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 0-5/TRICARE 180-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVA8C","description":"Very High Rehab , ADL Index 0-5/TRICARE 180-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ADBD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBBD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":214.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":214.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HBOC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home Visit For Wound Care","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9097","description":"Home Visit For Wound Care","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Instillation, hexaminolevulinate hydrochloride, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9589","description":"Instillation, hexaminolevulinate hydrochloride, 100 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AIDF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 2-5/14-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HB120","description":"Special Care High , ADL Index 2-5/14-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DGQE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HISC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 0-5/90-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMA52","description":"Medium Rehab , ADL Index 0-5/90-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1394.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBCC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBBD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":227.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":52.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":227.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":174.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":174.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHCB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EAUC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGDE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":927.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFSE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":317.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":124.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":441.8,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDFB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLUF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFOB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKPF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJQA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGUC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGGC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":200.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEPA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHVD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.82,"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":2811.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2001.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3980.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LAQF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFSD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLGB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":774.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":77.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":774.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":251.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":332.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":80.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAPD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHMA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PGOF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGHD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MIHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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; 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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":475.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFEB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFKF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 15-16/TRICARE 150-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PE28B","description":"Reduced Physical Function , ADL Index 15-16/TRICARE 150-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.75,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":27.75,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":4.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBRC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLIC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Magnetic resonance angiography without contrast, lower extremity","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8913","description":"Magnetic resonance angiography without contrast, lower extremity","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":945.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DCQB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDTF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIBC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":356.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":356.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":356.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":356.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIKA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDEB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBBD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAPC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"In vitro fertilization  procedure cancellation after aspiration, case rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4021","description":"In vitro fertilization  procedure cancellation after aspiration, case rate","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 11-14/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission return AND SOT OMR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PD216","description":"Reduced Physical Function , ADL Index 11-14/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission return AND SOT OMR","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CABE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEFE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":52.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGBF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PLOC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAVB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 6-10/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LC144","description":"Special Care Low , ADL Index 6-10/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1180.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pregnenolone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84140","description":"Pregnenolone","negotiated_rates":[{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":20.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DGWB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCVA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.02,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inj Estrogen Conjugate 25 Mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1410","description":"Inj Estrogen Conjugate 25 Mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":392.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":588.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCVF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electromyograph Biofeedback","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0746","description":"Electromyograph Biofeedback","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.23,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":33.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Phenobarbital Sodium Inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2560","description":"Phenobarbital Sodium Inj","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKFD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAKF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDKA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 15-16/30-day AND SCSA OR 30-day AND SCPA OR 30-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LE131","description":"Special Care Low , ADL Index 15-16/30-day AND SCSA OR 30-day AND SCPA OR 30-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEKA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIVE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non-traumatic brain injury with Motor >26.15 & Motor <35.05.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0303","description":"Non-traumatic brain injury with Motor >26.15 & Motor <35.05.,without comorbidities","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":407.23,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":134.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":272.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 2-5/TRICARE 120-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CB28A","description":"Clinically Complex , ADL Index 2-5/TRICARE 120-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAXB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5000.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":151.96,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":46.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":105.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDKD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CASC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unknown","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9270","description":"Unknown","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVC56","description":"Very High Rehab , ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCVE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Homogentisic Acid;urine,Quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83095","description":"Homogentisic Acid;urine,Quantitative","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DDOC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBUE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES136","description":"Extensive Services , ADL Index 2-16/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCOA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1193.94,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKMD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCKF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2496.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEJA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":"CPT","billing_code_type_version":"2026","billing_code":"J0167","description":"Injection, epinephrine (Hospira), not therapeutically equivalent to J0165, 0.1 mg","negotiated_rates":[{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":481.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEPB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCEC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJQF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBND1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":88.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":128.24,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":39.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":305.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":49.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Torqr,Soloist Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1107","description":"Torqr,Soloist Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":120.6,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":14.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":14.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":197.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":197.38,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":925.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":319.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":441.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bevacizumab, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0116","description":"Bevacizumab, 100 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"METF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CABA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFDE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":354.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IICA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGIC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":442.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":597.93,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":548.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HIOC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"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"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2405.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Aldolase, Blood; Colorimetric","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82086","description":"Aldolase, Blood; Colorimetric","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":382.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients receiving RRT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1199","description":"Patients receiving RRT","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to J0607 (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0608","description":"Lanthanum carbonate, oral, powder, 5 mg, not therapeutically equivalent to J0607 (for ESRD on dialysis)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 2-5/TRICARE 270-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HB28F","description":"Special Care High , ADL Index 2-5/TRICARE 270-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFFC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":371.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IAEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFDA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 0-1/14-day AND EOT OMRA OR 14-day AND EOT OMRA AND SCSA OR14-day AND EOT OMRA AND SCPA OR 14-day AND EOT OMRA AND CCA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BA124","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 0-1/14-day AND EOT OMRA OR 14-day AND EOT OMRA AND SCSA OR14-day AND EOT OMRA AND SCPA OR 14-day AND EOT OMRA AND CCA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDBD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MAHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":3.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IFIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDQF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, olaratumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9285","description":"Injection, olaratumab, 10 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1296.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHJD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJMD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DFSF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Eye; Iridectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00147","description":"Anesthesia, Proc On Eye; Iridectomy","negotiated_rates":[{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":345.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, crizanlizumab-tmca, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9053","description":"Injection, crizanlizumab-tmca, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MHMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDXE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKLA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"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"},{"negotiated_type":"fee schedule","negotiated_rate":28.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1608.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1349.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LGWD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 0-5/TRICARE 360-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVA8I","description":"Very High Rehab , ADL Index 0-5/TRICARE 360-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Valve replacement only each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2223","description":"Valve replacement only each","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHFC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Erythro Lactobionate /500 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1364","description":"Erythro Lactobionate /500 Mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":412.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGXA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":449.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CVD risk assessment not performed or incomplete (e.g., CVD risk assessment was not documented), reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1257","description":"CVD risk assessment not performed or incomplete (e.g., CVD risk assessment was not documented), reason not otherwise specified","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAQA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CASB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":305.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGKF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHBF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":749.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":811.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >28.75 & Motor <40.65.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0205","description":"Traumatic brain injury with Motor >28.75 & Motor <40.65.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIPC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDVD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IAED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":756.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab plus Extensive , ADL Index 2-10/TRICARE 270-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUL8F","description":"Ultra High Rehab plus Extensive , ADL Index 2-10/TRICARE 270-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":565.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":82.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":483.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DAWA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 11-14/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CD211","description":"Clinically Complex , ADL Index 11-14/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1631.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BEFA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":78.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":170.45,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":537.88,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGED0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LIQD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":12.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEUF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IFAB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":139.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":139.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":20.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":20.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1881.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":154.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":154.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAKA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHJD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Brachytherapy seed, Gold 198","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1716","description":"Brachytherapy seed, Gold 198","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":378.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGPA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIPA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBTC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGPF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIFE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 11-14/TRICARE 180-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LD28C","description":"Special Care Low , ADL Index 11-14/TRICARE 180-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCBC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":118.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":118.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBFC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIHE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 6-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HC245","description":"Special Care High , ADL Index 6-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 11-16/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLB21","description":"Low Rehab, ADL Index 11-16/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAAC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JCJF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFBA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GENE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Programmer for transient, orally ingested capsule","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9268","description":"Programmer for transient, orally ingested capsule","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBTF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODPF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1509.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAKC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1802.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 6-10/90-day AND EOT OMRA OR 90-day AND EOT OMRA AND SCSA OR 90-day AND EOT OMRA AND SCPA OR 90-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HC154","description":"Special Care High , ADL Index 6-10/90-day AND EOT OMRA OR 90-day AND EOT OMRA AND SCSA OR 90-day AND EOT OMRA AND SCPA OR 90-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":759.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":759.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":759.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":759.53,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":293.06,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Computer-aided detection, including computer algorithm analysis of breast MRI image data for lesion detection/characterization, pharmacokinetic analysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8937","description":"Computer-aided detection, including computer algorithm analysis of breast MRI image data for lesion detection/characterization, pharmacokinetic analysis","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 15-16/14-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LE220","description":"Special Care Low , ADL Index 15-16/14-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDOC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4265.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":111.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":213.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":325.22,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJVF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEMA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":29.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":29.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab plus Extensive , ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 90-day AND SOT OMRA (not Medicare short stay) AND EOT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUX56","description":"Ultra High Rehab plus Extensive , ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 90-day AND SOT OMRA (not Medicare short stay) AND EOT","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBFC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05.,comorbidity in tier 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0806","description":"Replacement of lower extremity joint with Motor <22.05.,comorbidity in tier 3","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4183.13,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5901.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tc99m arcitumomab","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9549","description":"Tc99m arcitumomab","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IHEA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32941.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":136.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":104.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4543","description":"Supplies for transcutaneous electrical nerve stimulator, for nerves in the auricular region, per month","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":617.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":617.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHXF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":86.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":86.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E3200","description":"Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":137.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":137.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GICE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1437.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1437.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFVD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 0-5/30-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 30-day AND SOT OMRA (not Medic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMA33","description":"Medium Rehab , ADL Index 0-5/30-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 30-day AND SOT OMRA (not Medic","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1175.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEGF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HGQA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODBF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDFA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDLD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJKE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFKA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.02,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":643.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBNB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"5038s, 5038 5038l Pace Lead","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1115","description":"5038s, 5038 5038l Pace Lead","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 11-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVC01","description":"Very High Rehab , ADL Index 11-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEPD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJED0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sargramostim Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2820","description":"Sargramostim Injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKWF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":33.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":33.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.07,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":278.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.96,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":830.93,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surface electromyography (EMG)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3900","description":"Surface electromyography (EMG)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amputation, lower extremity with Motor <36.25.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1003","description":"Amputation, lower extremity with Motor <36.25.,comorbidity in tier 1","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IIHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":241.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":241.9,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1322.58,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":272.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 11-14/14-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PD120","description":"Reduced Physical Function , ADL Index 11-14/14-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radioallergosorbent Test 6or More","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86421","description":"Radioallergosorbent Test 6or More","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LAWC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBCE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 6-10/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PC144","description":"Reduced Physical Function , ADL Index 6-10/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1174.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultraverse 3.5f Bal Dil Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1934","description":"Ultraverse 3.5f Bal Dil Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":477.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LCWF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab plus Extensive , ADL Index 11-16/TRICARE 150-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVX8B","description":"Very High Rehab plus Extensive , ADL Index 11-16/TRICARE 150-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, inebilizumab-cdon, 1 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1823","description":"Injection, inebilizumab-cdon, 1 mg","negotiated_rates":[{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":743.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":495.55,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKJB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDTE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sterile saline or water","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"A4218","description":"Sterile saline or water","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":0.46,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCAE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCPD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":655.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IDTA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":196.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":185.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AHAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PASC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Glucose Tolerance Test, Intravenous","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82961","description":"Glucose Tolerance Test, Intravenous","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAGD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":174.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICMA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, metoprolol tartrate, 1 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0616","description":"Injection, metoprolol tartrate, 1 mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":148.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":2586.33,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2586.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAPB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDIC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJXB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHQD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEIE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FACF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBEE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHUB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 15-16/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare shor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CE113","description":"Clinically Complex , ADL Index 15-16/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare shor","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBLF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACDE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":498.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":626.32,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":127.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 0-10/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLA11","description":"Low Rehab, ADL Index 0-10/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":102.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":127.25,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":119.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":127.25,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":119.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JELE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 2-5/60-day AND SCSA OR 60-day AND SPCA OR 60-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PB241","description":"Reduced Physical Function , ADL Index 2-5/60-day AND SCSA OR 60-day AND SPCA OR 60-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAKF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":373.86,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":127.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":127.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":140.02,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OICA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Catheter, intracardiac echocardiography","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1759","description":"Catheter, intracardiac echocardiography","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CELD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKGE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHHB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":150.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insulin (Lyumjev), per 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1814","description":"Insulin (Lyumjev), per 5 units","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1704.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 6-10/TRICARE 360-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CC18I","description":"Clinically Complex , ADL Index 6-10/TRICARE 360-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCHB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EHMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGVA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAGE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystine Aminopeptidase","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82624","description":"Cystine Aminopeptidase","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBSC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJKD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAJA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEDC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAGD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":103.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGHE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":158.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAME0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIKC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFNF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHRE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1043.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 2-5/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HB256","description":"Special Care High , ADL Index 2-5/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ECUB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ace inhibitor or ARB therapy not prescribed during the measurement period, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1203","description":"Ace inhibitor or ARB therapy not prescribed during the measurement period, reason not given","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBKC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFBD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MHLC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HCRE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":878.31,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":836.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DIQD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":114.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":114.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGNF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":26.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HHSC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient admitted to palliative care services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1017","description":"Patient admitted to palliative care services","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIMD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1240.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1105.88,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":660.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"KF"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBTE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBKA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1953.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HCQF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGXA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":849.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EGLC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":948.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Major multiple trauma with brain or spinal cord injury M <30.50.,comorbidity in tier 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D1806","description":"Major multiple trauma with brain or spinal cord injury M <30.50.,comorbidity in tier 3","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEBB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 6-10/30-day AND SCSA OR 30-day AND SCPA OR 30-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMB31","description":"Medium Rehab , ADL Index 6-10/30-day AND SCSA OR 30-day AND SCPA OR 30-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Xyntha inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7185","description":"Xyntha inj","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Donor Egg Cycle, Incomplete, Case Rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4023","description":"Donor Egg Cycle, Incomplete, Case Rate","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBTF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":72.19,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":72.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PHYA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Burns M <52.50.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2102","description":"Burns M <52.50.,without comorbidities","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DFYC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CASD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":590.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dura Ii Penile Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8514","description":"Dura Ii Penile Prosthesis","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKOD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cortisol;after Metyrapone Tartrate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82538","description":"Cortisol;after Metyrapone Tartrate","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":617.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":149.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":100.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.06,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":67.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGHD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCDD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients with recurrence/disease progression","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1397","description":"Patients with recurrence/disease progression","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cath, Ultra Ice","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1035","description":"Cath, Ultra Ice","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCND1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":22.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":621.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Kyphoplasty, first vertebra","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9718","description":"Kyphoplasty, first vertebra","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHNE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LHQE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCCA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PDRA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":112.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":112.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"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"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":75.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DHWA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1443.57,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":475.84,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":475.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":475.84,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Donor Lobectomy (Lung)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2061","description":"Donor Lobectomy (Lung)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IETC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHDE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 6-10/TRICARE 120-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CC18A","description":"Clinically Complex , ADL Index 6-10/TRICARE 120-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGNF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IALA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABCB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":521.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGCD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1790.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JACF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LAYB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEQE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IHLB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBOB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4148.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Zidovudine, Oral 100 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0104","description":"Zidovudine, Oral 100 Mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PEOB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEJA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 2-5/TRICARE 240-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PB28E","description":"Reduced Physical Function , ADL Index 2-5/TRICARE 240-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDGD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":721.99,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":87.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":87.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":5.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":87.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":5.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MFCA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, coagulation factor Xa (recombinant), inactivated, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9041","description":"Injection, coagulation factor Xa (recombinant), inactivated, 10 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAGE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients with an existing diagnosis of squamous cell carcinoma of the esophagus","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1192","description":"Patients with an existing diagnosis of squamous cell carcinoma of the esophagus","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHNB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 11-14/5-day or readmission return AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HD212","description":"Special Care High , ADL Index 11-14/5-day or readmission return AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients who did not have a completed suicide safety plan initiated, reviewed, or updated in collaboration with their clinician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1353","description":"Patients who did not have a completed suicide safety plan initiated, reviewed, or updated in collaboration with their clinician","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":66.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Most recent glycemic status assessment (HbA1c or GMI) level >= 8.0% and <= 9.0%","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1373","description":"Most recent glycemic status assessment (HbA1c or GMI) level >= 8.0% and <= 9.0%","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":259.29,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 0-10/TRICARE 330-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLA8H","description":"Low Rehab, ADL Index 0-10/TRICARE 330-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGNB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGUE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFFD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBQF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHUF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHXF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3324.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3324.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BETF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":137.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":137.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":373.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lead, pacemaker, transvenous VDD single pass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1779","description":"Lead, pacemaker, transvenous VDD single pass","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"5% dextrose in lactated ringers infusion, up to 1000 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7121","description":"5% dextrose in lactated ringers infusion, up to 1000 cc","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 2-5/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PB221","description":"Reduced Physical Function , ADL Index 2-5/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":69.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab plus Extensive , ADL Index 2-10/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUL11","description":"Ultra High Rehab plus Extensive , ADL Index 2-10/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OILE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PDRF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 0-5/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHA01","description":"High Rehab , ADL Index 0-5/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES145","description":"Extensive Services , ADL Index 2-16/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 0-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUA16","description":"Ultra High Rehab , ADL Index 0-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medi","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":871.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHSD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDDA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EEDE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":66.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 0-5/90-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUA50","description":"Ultra High Rehab , ADL Index 0-5/90-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":351.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICCE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ADCD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLJD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EGLB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGCF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OARF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCYF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAYB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGHF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CERA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIWD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBGF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":44.89,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":44.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":44.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHXD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Knee Orthoses Elas W Stays","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1800","description":"Knee Orthoses Elas W Stays","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2199.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1081.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEBA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electronic Greifer Switch Ct","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7020","description":"Electronic Greifer Switch Ct","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MEUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AHIC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Supply of Radiopharmaceutical Therapeutic Imaging Agent, I-131 Tositumomab, per Dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1081","description":"Supply of Radiopharmaceutical Therapeutic Imaging Agent, I-131 Tositumomab, per Dose","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJLF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":59.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":49.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Cortisol; Cpb, Urine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82532","description":"Cortisol; Cpb, Urine","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PCOF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKFF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":361.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":361.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":36.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGQD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Docetaxel injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9171","description":"Docetaxel injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJSE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PKSC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEFC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LEQE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFKC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"LOCM 350-399mg/ml iodine,1ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9950","description":"LOCM 350-399mg/ml iodine,1ml","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gazelle Bal Dil Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1947","description":"Gazelle Bal Dil Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHPE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIQB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":344.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBPA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKTE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIFA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 11-14/TRICARE Post 360-day assessments with 30-day interval","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PD28X","description":"Reduced Physical Function , ADL Index 11-14/TRICARE Post 360-day assessments with 30-day interval","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NADB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor>51.35, comorbidity in tier 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0501","description":"Non-traumatic spinal cord injury with Motor>51.35, comorbidity in tier 3","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGMD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Boric Acid; Urine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82285","description":"Boric Acid; Urine","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":9.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp 4 std cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0869","description":"PWC gp 4 std cap chair","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAJE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":139.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEUF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1132.84,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCNF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AHBA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.54,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1.54,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIFB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIRC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HFQF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHFD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBVF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCWD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IFMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAJE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ECCE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKGF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardioverter-defibrillator, single chamber (implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1722","description":"Cardioverter-defibrillator, single chamber (implantable)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 15-16/30-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PE230","description":"Reduced Physical Function , ADL Index 15-16/30-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCNB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIMD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBOA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Azathioprine Oral 50mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7500","description":"Azathioprine Oral 50mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HIYD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":0.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bone Marrow Smear/Cell Block;aspir.& Sta","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85101","description":"Bone Marrow Smear/Cell Block;aspir.& Sta","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.09,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":374.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":418.08,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":142.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":2378.23,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2378.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LBQF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":918.97,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":918.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1741.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1741.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCYA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients who did not have germline testing for BRCA1 and BRCA2 or genetic counseling completed within 6 months of diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1410","description":"Patients who did not have germline testing for BRCA1 and BRCA2 or genetic counseling completed within 6 months of diagnosis","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEDB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":396.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EEUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":11.26,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBKF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHTC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PAWC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":778.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 11-16/TRICARE 180-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUC8C","description":"Ultra High Rehab , ADL Index 11-16/TRICARE 180-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.87,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":6.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.24,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":36.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":292.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKJA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAFA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 0-10/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLA55","description":"Low Rehab, ADL Index 0-10/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Brachytherapy seed, Yttrium-90","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2616","description":"Brachytherapy seed, Yttrium-90","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 0-5/90-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHA52","description":"High Rehab , ADL Index 0-5/90-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.79,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":24.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":466.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DAQE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEBF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBGB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pepsinogen, Blood","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83975","description":"Pepsinogen, Blood","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHEA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBEA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":583.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 0-1/5-day or readmission return.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BA210","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 0-1/5-day or readmission return.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1477.35,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":337.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGRC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCIC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/90-day AND SCSA OR 90-day AND SCPA OR 90-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES151","description":"Extensive Services , ADL Index 2-16/90-day AND SCSA OR 90-day AND SCPA OR 90-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBQF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLJC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCFA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":142.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, c-1 esterase inhibitor (human), berinert, 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0597","description":"Injection, c-1 esterase inhibitor (human), berinert, 10 units","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":427.33,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":427.33,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1486.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":20.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFOB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":87.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":87.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":5.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":87.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":5.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":663.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 0-1/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 90-day AND SOT OMRA (not Medicare short st","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BA256","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 0-1/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 90-day AND SOT OMRA (not Medicare short st","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":44.62,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGHE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":454.26,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":274.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 15-16/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CE126","description":"Clinically Complex , ADL Index 15-16/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 0-5/Stand-alone SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHA02","description":"High Rehab , ADL Index 0-5/Stand-alone SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flextipplus Intraspinal Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2610","description":"Flextipplus Intraspinal Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICTC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEDA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiac with Motor >48.85.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1401","description":"Cardiac with Motor >48.85.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDXF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHSF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non-traumatic brain injury with Motor >26.15 & Motor <35.050.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0303","description":"Non-traumatic brain injury with Motor >26.15 & Motor <35.050.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CINF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OATB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":10.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBFF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":553.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":708.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":773.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 11-14/SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PD205","description":"Reduced Physical Function , ADL Index 11-14/SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":419.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":419.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":21.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":140.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":103.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":85.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MHMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1237.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":100.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"negotiated","negotiated_rate":100.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"negotiated","negotiated_rate":100.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":517.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHJD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Cone beam ct","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0360","description":"Cone beam ct","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Arteries Lower Leg Proc W/Bypass Graft; Embolectomy, Direct/ W/Catheter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01502","description":"Anesthesia, Arteries Lower Leg Proc W/Bypass Graft; Embolectomy, Direct/ W/Catheter","negotiated_rates":[{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":345.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGTD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Expiratory pap intransal resistance valve","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7049","description":"Expiratory pap intransal resistance valve","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Terminal Device Model #10x","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6755","description":"Terminal Device Model #10x","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab plus Extensive , ADL Index 2-16/30-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLX30","description":"Low Rehab plus Extensive , ADL Index 2-16/30-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":355.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAIE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBTB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AALF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFQE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBBE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":1100.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":830.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHOC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EGEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":96.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEDF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGBD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0574","description":"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAKD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHTF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":270.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":270.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":578.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDRE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHVA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":36.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":260.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":297.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJCC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFSC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBBC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":106.93,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":242.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":114.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":127.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":127.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":114.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":510.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LCYF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBXC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EHMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDJD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":169.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":169.64,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GILE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":257.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":257.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2126.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2126.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2126.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2126.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDQB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKQF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":310.34,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1438.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1438.36,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":15.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DHSE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCBC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":852.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HBYE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":110.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCAC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1107.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"U9"},{"negotiated_type":"negotiated","negotiated_rate":1107.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDMD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFNA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Isostar Iodine-125 Seeds","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1805","description":"Isostar Iodine-125 Seeds","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKLB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LDRF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGTB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCPF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGBD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDDA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":178.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAXE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 0-5/TRICARE 330-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVA8H","description":"Very High Rehab , ADL Index 0-5/TRICARE 330-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OISB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":882.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFGB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":322.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":322.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Chromosome Analysis In Situ, Amniotic Fluid Cells, From 6-12 Colonies, 1 Karyotype W/Banding","billing_code_type":"HCPCS","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":173.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":173.66,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 6-10/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMB11","description":"Medium Rehab , ADL Index 6-10/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLJB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1012.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBUC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2228.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHKB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PBYA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":262.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":184.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":78.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":170.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBLF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"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"},{"negotiated_type":"fee schedule","negotiated_rate":1026.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEEA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HIRC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHDB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAGD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3665.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCCC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OIRE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NADD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AHLE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1549.71,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":285.82,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":171.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":149.18,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":839.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2446.17,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":929.02,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEID1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Methylnaltrexone injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2212","description":"Methylnaltrexone injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 6-10/90-day AND SCSA OR 90-day AND SCPA OR 90-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVB51","description":"Very High Rehab , ADL Index 6-10/90-day AND SCSA OR 90-day AND SCPA OR 90-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGHD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17631.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GABE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HDQF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFTA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Day Care Services, Adult, Per Diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5102","description":"Day Care Services, Adult, Per Diem","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non-traumatic brain injury with Motor >35.05 & Motor <41.05.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0302","description":"Non-traumatic brain injury with Motor >35.05 & Motor <41.05.,comorbidity in tier 1","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHSB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHIF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endotak Sq Array Defib Lead","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8749","description":"Endotak Sq Array Defib Lead","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 0-1/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PA244","description":"Reduced Physical Function , ADL Index 0-1/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":453.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFSE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 0-5/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR 30-d","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMA36","description":"Medium Rehab , ADL Index 0-5/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR 30-d","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGMA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFIE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MIMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HFRF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JCIB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Co 57, 0.5 Mci","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1089","description":"Co 57, 0.5 Mci","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":192.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9771","description":"Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Albuterol comp unit concentrated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7610","description":"Albuterol comp unit concentrated","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 11-14/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare shor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CD113","description":"Clinically Complex , ADL Index 11-14/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare shor","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":18.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":16.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1988.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGWA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":437.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":334.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":102.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":270.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":270.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab plus Extensive , ADL Index 2-10/OBRA assessment used for PPS (Not combined with any PPS assessment) when Part A eligibility unknown at time of assessment due","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUL60","description":"Ultra High Rehab plus Extensive , ADL Index 2-10/OBRA assessment used for PPS (Not combined with any PPS assessment) when Part A eligibility unknown at time of assessment due","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGNF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBLC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGNF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEGF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGWB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LGQA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFNE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":76.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":18.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HFOA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MFTD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMC55","description":"Medium Rehab , ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MLMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":711.14,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1049.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cytarabine Hcl 100 Mg Inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9100","description":"Cytarabine Hcl 100 Mg Inj","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGJA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":15.64,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHUA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 11-14/60-day AND SCSA OR 60-day AND SPCA OR 60-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LD241","description":"Special Care Low , ADL Index 11-14/60-day AND SCSA OR 60-day AND SPCA OR 60-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":450.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":45.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":450.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":"CPT","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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":200.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IACD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIOA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HEWE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":861.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":861.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LHQB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HEQD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHPB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFDC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFBA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Portable home suction pump","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0743","description":"Portable home suction pump","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiac with Motor <31.15.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1404","description":"Cardiac with Motor <31.15.,without comorbidities","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interferential current stimulator, 2 channel","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8130","description":"Interferential current stimulator, 2 channel","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PFWD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MLUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFJD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, triamcinolone acetonide, suprachoroidal (Xipere), 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9092","description":"Injection, triamcinolone acetonide, suprachoroidal (Xipere), 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDND1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":719.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OADB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":354.09,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7571.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ECID1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Lecanemab-irmb, 1 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0174","description":"Injection, Lecanemab-irmb, 1 mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.98,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1333.84,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGNF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MATE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCPC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDDC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACBD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":173.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":173.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":173.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arrow-Trerotola Ptd Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2200","description":"Arrow-Trerotola Ptd Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3019.1,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 11-14/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HD101","description":"Special Care High , ADL Index 11-14/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFTB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHND0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":988.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCDF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBWB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":412.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":370.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBJC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIPD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBDA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDGC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCPB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, alglucosidase alfa, (lumizyme), 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0221","description":"Injection, alglucosidase alfa, (lumizyme), 10 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBPC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.72,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":9.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGTC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PESD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFCC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HGWB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":372.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":88.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":88.2,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":88.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PCSD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":741.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":741.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 11-16/5-day or readmission return AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHC12","description":"High Rehab , ADL Index 11-16/5-day or readmission return AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBBA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHCD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":789.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFLB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":0.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Oxybutyric Acid,Beta","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83947","description":"Oxybutyric Acid,Beta","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFRA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EABE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rheumatoid, other arthritis with Motor>26.15 and Motor<36.35, comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1302","description":"Rheumatoid, other arthritis with Motor>26.15 and Motor<36.35, comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KABF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MACA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":924.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEBF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab plus Extensive , ADL Index 2-16/14-day AND EOT OMRA OR 14-day AND EOT OMRA AND SCSA OR14-day AND EOT OMRA AND SCPA OR 14-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLX24","description":"Low Rehab plus Extensive , ADL Index 2-16/14-day AND EOT OMRA OR 14-day AND EOT OMRA AND SCSA OR14-day AND EOT OMRA AND SCPA OR 14-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/30-day AND EOT OMRA OR 30-day AND EOT OMRA AND SCSA OR 30-day AND EOT OMRA AND SCPA OR 30-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES334","description":"Extensive Services , ADL Index 2-16/30-day AND EOT OMRA OR 30-day AND EOT OMRA AND SCSA OR 30-day AND EOT OMRA AND SCPA OR 30-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 6-10/TRICARE 150-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUB8B","description":"Ultra High Rehab , ADL Index 6-10/TRICARE 150-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":306.32,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":306.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAXE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIVA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":959.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGCC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEVC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4603.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDIC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIVD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCQB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, pyridoxine hcl, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3415","description":"Injection, pyridoxine hcl, 100 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHCD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFPE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEBC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AIHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 11-14/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HD226","description":"Special Care High , ADL Index 11-14/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIMD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":580.54,"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"},{"negotiated_type":"fee schedule","negotiated_rate":11371.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp3 std sing pow opt s/b","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"K0856","description":"PWC gp3 std sing pow opt s/b","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5776.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLEA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCGD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":516.97,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2366.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2366.26,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MFCE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 0-5/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medicare","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUA06","description":"Ultra High Rehab , ADL Index 0-5/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medicare","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFEA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":15.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 11-16/14-day AND EOT OMRA OR 14-day AND EOT OMRA AND SCSA OR14-day AND EOT OMRA AND SCPA OR 14-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHC24","description":"High Rehab , ADL Index 11-16/14-day AND EOT OMRA OR 14-day AND EOT OMRA AND SCSA OR14-day AND EOT OMRA AND SCPA OR 14-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PLYE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":150.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MIBE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":112.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":112.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"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"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":75.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGTA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1322.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHGD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDCA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGIB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Capsure Fix 6940/4068-110","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1303","description":"Capsure Fix 6940/4068-110","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab plus Extensive, ADL Index 2-10/5-day or readmission return AND EOT OMRA OR 5-day or readmission return AND EOT OMRA AND SCSA OR 5-day or readmission return AND EO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RML14","description":"Medium Rehab plus Extensive, ADL Index 2-10/5-day or readmission return AND EOT OMRA OR 5-day or readmission return AND EOT OMRA AND SCSA OR 5-day or readmission return AND EO","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGSC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":229.94,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":229.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJGF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":"HCPCS","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":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":427.26,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":427.26,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":427.26,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.09,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.09,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIKF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFCC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MLEB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEQB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":88.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":88.2,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":88.2,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1432.33,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3435.09,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":3435.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"BCG live intravesical instillation, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9030","description":"BCG live intravesical instillation, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBQB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":604.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGED0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gonadotropins","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82996","description":"Gonadotropins","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":422.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or AI interpretation documented and reviewed; with evidence of retinopathy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1220","description":"Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or AI interpretation documented and reviewed; with evidence of retinopathy","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBBE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, necitumumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9295","description":"Injection, necitumumab, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Major multiple trauma with brain or spinal cord injury M >=30.50 and M <40.50.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1805","description":"Major multiple trauma with brain or spinal cord injury M >=30.50 and M <40.50.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGIC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BETC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":92.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":129.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLEB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":83.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiation therapy for brain metastases under the Radiation Oncology model, 90-day episode, technical component","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1079","description":"Radiation therapy for brain metastases under the Radiation Oncology model, 90-day episode, technical component","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIPB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCEB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LHRB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDUE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JABB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":39.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.8,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":306.32,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":306.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFAE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, immune globulin (hizentra), 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1559","description":"Injection, immune globulin (hizentra), 100 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ambulance transport provided between the hours of 7pm and 7am","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0800","description":"Ambulance transport provided between the hours of 7pm and 7am","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCPA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ongoing care not indicated, pt discharged after 1-2 visits due to specific medical events, documented in med record that make the treatment episode impossible","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1140","description":"Ongoing care not indicated, pt discharged after 1-2 visits due to specific medical events, documented in med record that make the treatment episode impossible","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GABA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":627.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":627.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":627.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHBC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hand Bock Vc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6875","description":"Hand Bock Vc","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PCQC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cholesterol & Chloresterol Osters","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82475","description":"Cholesterol & Chloresterol Osters","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IAMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LGRC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":593.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":593.64,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDJB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDNF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FALD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDND0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGYE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDKE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NETB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DIRB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 6-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR 60-","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMB46","description":"Medium Rehab , ADL Index 6-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR 60-","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PDYF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 15-16/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PE235","description":"Reduced Physical Function , ADL Index 15-16/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1812.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hosp Bed Semi-Elect W/ Mattr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"E0294","description":"Hosp Bed Semi-Elect W/ Mattr","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1248.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLCE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":922.99,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCOF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IFHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EAME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CELC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAGD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1143.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CACB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":782.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDEA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJQD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":10.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 2-5/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PB144","description":"Reduced Physical Function , ADL Index 2-5/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LEYA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDIE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBGC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MLBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PFOE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCKA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HDSB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHQC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KELC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab plus Extensive , ADL Index 2-10/SOT OMRA (not Medicare short stay) AND SCSA OR SOT OMRA (not Medicare short stay) AND SCPA OR SOT OMRA (not Medicare short sta","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUL03","description":"Ultra High Rehab plus Extensive , ADL Index 2-10/SOT OMRA (not Medicare short stay) AND SCSA OR SOT OMRA (not Medicare short stay) AND SCPA OR SOT OMRA (not Medicare short sta","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJKE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFEB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBSA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHGB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDGF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IEIF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NILD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODKA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFTF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":673.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCXD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1903.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHIA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"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","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 0-5/60-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 60-day AND SOT OMRA (not M","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUA43","description":"Ultra High Rehab , ADL Index 0-5/60-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 60-day AND SOT OMRA (not M","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vertebral Axial Decompressio","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9090","description":"Vertebral Axial Decompressio","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IFTA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.75,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":27.75,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":60.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":95.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJGC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":456.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCWC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEFA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LEWF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBAC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":10.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.85,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MIHE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":591.34,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2919.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABTE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":711.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":438.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DISC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHBF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFPB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crisis Intervention Mental Health Serv","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9485","description":"Crisis Intervention Mental Health Serv","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab plus Extensive , ADL Index 2-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUL45","description":"Ultra High Rehab plus Extensive , ADL Index 2-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBNA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1645.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3659.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"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":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3659.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"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":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3659.17,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLID0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEOB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFIE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1766.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBBC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIND0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":179.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":179.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0574","description":"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AHTA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"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"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":169.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":169.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":169.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCKF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":4.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":9.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiation therapy for breast cancer under the Radiation Oncology model, 90-day episode, technical component","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1081","description":"Radiation therapy for breast cancer under the Radiation Oncology model, 90-day episode, technical component","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab plus Extensive , ADL Index 11-16/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVX06","description":"Very High Rehab plus Extensive , ADL Index 11-16/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHGC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":176.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFLF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Platelets, pheresis, pathogen reduced or rapid bacterial tested, each unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9072","description":"Platelets, pheresis, pathogen reduced or rapid bacterial tested, each unit","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cath, Ablation, Livewire Tc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1003","description":"Cath, Ablation, Livewire Tc","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCLC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JENC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":830.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, teprotumumab-trbw, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9061","description":"Injection, teprotumumab-trbw, 10 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKQE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFDA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MCCF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9057","description":"Red blood cells, frozen/deglycerolized/washed, leukocytes reduced, irradiated, each unit","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEKD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fludarabine phosphate, oral, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8562","description":"Fludarabine phosphate, oral, 10 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ep Tip Cath--Hexapolar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2005","description":"Ep Tip Cath--Hexapolar","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Miscellaneous with Motor >49.15.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2001","description":"Miscellaneous with Motor >49.15.,comorbidity in tier 1","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIBF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":228.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/90-day AND SCSA OR 90-day AND SCPA OR 90-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES351","description":"Extensive Services , ADL Index 2-16/90-day AND SCSA OR 90-day AND SCPA OR 90-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AECD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGAC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBND0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fluoroestradiol F18, diagnostic, 1 mci","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9060","description":"Fluoroestradiol F18, diagnostic, 1 mci","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFND0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDGB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":373.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBKB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":187.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHLD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MADF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GALD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAOB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":232.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":173.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":130.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3873.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3873.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEJE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":160.52,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1384.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHJC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JANE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIWE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2461.45,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":295.87,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":295.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Service for dx/eval/tx of a mental health/substance use disorder,  initial 15-29 minutes, provided remotely by hosp staff when the patient is in their home & no assoc prof svc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7900","description":"Service for dx/eval/tx of a mental health/substance use disorder,  initial 15-29 minutes, provided remotely by hosp staff when the patient is in their home & no assoc prof svc","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/14-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES120","description":"Extensive Services , ADL Index 2-16/14-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":977.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBLD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2286.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGDC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 0-10/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR 14-day","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLA26","description":"Low Rehab, ADL Index 0-10/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR 14-day","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":366.22,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":3.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCUE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":15.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Baclofen Intrathecal Kit-1am","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9007","description":"Baclofen Intrathecal Kit-1am","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":215.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DAQD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":557.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 6-10/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HC136","description":"Special Care High , ADL Index 6-10/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEXC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1036.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHBA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Methadone Oral 5mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0109","description":"Methadone Oral 5mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCPC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":246.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABBE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1257.46,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGTD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGMD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gore-Texplus 1mm, 150 Sq Cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C6024","description":"Gore-Texplus 1mm, 150 Sq Cm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFCF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MFAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1170.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1733.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, epinephrine in sodium chloride (Endo), 0.1 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0163","description":"Injection, epinephrine in sodium chloride (Endo), 0.1 mg","negotiated_rates":[{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEED0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":"CPT","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":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.06,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":421.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEHB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 11-16/5-day or readmission return.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHC10","description":"High Rehab , ADL Index 11-16/5-day or readmission return.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEHE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBEA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DBWF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCIA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultrasound guidance for multifetal pregnancy reduction(s), technical component (only to be used with the physician doing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8055","description":"Ultrasound guidance for multifetal pregnancy reduction(s), technical component (only to be used with the physician doing","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroereisis, subtalar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2117","description":"Arthroereisis, subtalar","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BEDB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEFA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interferon Alfa-2b Inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9214","description":"Interferon Alfa-2b Inj","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEBF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"fee schedule","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"fee schedule","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEPC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":976.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDCD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHVB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEWD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFVA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PHOF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BALE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HAOA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHSA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":44.89,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":44.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":44.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia For Cesarean Delivery Following Neuraxial Labor Analgesia/Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01968","description":"Anesthesia For Cesarean Delivery Following Neuraxial Labor Analgesia/Anesthesia","negotiated_rates":[{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":208.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEVC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEKB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBHC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":55.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IICF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHWB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDCB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGHB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFKD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Porphyrins, Feces; Quantitative","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"84126","description":"Porphyrins, Feces; Quantitative","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.8,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDCD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pts who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an OB provider","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1255","description":"Pts who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an OB provider","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GABA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJXD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LEOB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGLE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDUA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody, Non-Rbc, Qual; 1st Antigen, Sl","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86006","description":"Antibody, Non-Rbc, Qual; 1st Antigen, Sl","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLFC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 6-10/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUB44","description":"Ultra High Rehab , ADL Index 6-10/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OIIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCKD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thioridazine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84434","description":"Thioridazine","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":900.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 15-16/TRICARE 360-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CE18I","description":"Clinically Complex , ADL Index 15-16/TRICARE 360-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODLB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":0.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":48.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.31,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":51.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DGOF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBWB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.71,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2044.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIAB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1099.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJJB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":549.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 6-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVB46","description":"Very High Rehab , ADL Index 6-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGJA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 6-10/5-day or readmission return AND EOT OMRA OR 5-day or readmission return AND EOT OMRA AND SCSA OR 5-day or readmission return AND EOT OMRA A","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CC114","description":"Clinically Complex , ADL Index 6-10/5-day or readmission return AND EOT OMRA OR 5-day or readmission return AND EOT OMRA AND SCSA OR 5-day or readmission return AND EOT OMRA A","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":61.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":188.01,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":220.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":55.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PAQA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":104.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGPC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":662.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":947.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 2-5/60-day AND SCSA OR 60-day AND SPCA OR 60-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CB141","description":"Clinically Complex , ADL Index 2-5/60-day AND SCSA OR 60-day AND SPCA OR 60-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Renal Transplant, Recipient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00868","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Renal Transplant, Recipient","negotiated_rates":[{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":572.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":572.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":572.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":543.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amputation, lower extremity with Motor<36.25, comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1003","description":"Amputation, lower extremity with Motor<36.25, comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIIB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":7.71,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.58,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1973.02,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":238.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":238.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4180.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":53.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Brexucabtagene autoleucel, up to 200 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":"C9073","description":"Brexucabtagene autoleucel, up to 200 million autologous anti-CD19 CAR positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":594.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 6-10/OBRA assessment used for PPS (Not combined with any PPS assessment) when Part A eligibility unknown at time of assessment due to one of the","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HC260","description":"Special Care High , ADL Index 6-10/OBRA assessment used for PPS (Not combined with any PPS assessment) when Part A eligibility unknown at time of assessment due to one of the","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":867.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":4.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"AU"},{"negotiated_type":"fee schedule","negotiated_rate":4.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCSE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCPD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFWF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIND1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":20.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1303.31,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":770.63,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"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":"Dark Field Exam, Any Source; W/Specimen Collection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"87164","description":"Dark Field Exam, Any Source; W/Specimen Collection","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.36,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":12.03,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFCA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IDEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJGF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDGB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDIF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHPF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":715.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHAE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":49.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":27.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDQA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":358.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHWF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HDOF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDQB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIBE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JETB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIVB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":143.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":66.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":66.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1538.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EHCE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJEB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IAAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1082.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab plus Extensive , ADL Index 11-16/14-day AND EOT OMRA OR 14-day AND EOT OMRA AND SCSA OR14-day AND EOT OMRA AND SCPA OR 14-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVX24","description":"Very High Rehab plus Extensive , ADL Index 11-16/14-day AND EOT OMRA OR 14-day AND EOT OMRA AND SCSA OR14-day AND EOT OMRA AND SCPA OR 14-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chlorothiazide Sodium Inj","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1205","description":"Chlorothiazide Sodium Inj","negotiated_rates":[{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.44,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4071.46,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":4071.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 15-16/TRICARE 330-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CE28H","description":"Clinically Complex , ADL Index 15-16/TRICARE 330-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFVB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3659.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"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":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3659.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"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":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3659.17,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.23,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":46.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":142.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":142.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGCB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AETE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEPB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBCB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":576.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":"42835","description":"Adenoidectomy, Secondary; < Age 12","negotiated_rates":[{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":221.5,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2061.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEPF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HGSF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFDC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ECUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKTF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, labetalol HCl (Hikma), not therapeutically equivalent to J1920, 5 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1921","description":"Injection, labetalol HCl (Hikma), not therapeutically equivalent to J1920, 5 mg","negotiated_rates":[{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MFCD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 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":"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2330.54,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2330.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1022","description":"Addition to lower extremity prosthesis, endoskeletal, knee disarticulation, above knee, hip disarticulation, positional rotation unit, any type","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 15-16/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HE126","description":"Special Care High , ADL Index 15-16/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDJA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCIC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PGRB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp5 ped sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0890","description":"PWC gp5 ped sing pow opt s/b","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":675.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":675.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 0-5/14-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHA20","description":"High Rehab , ADL Index 0-5/14-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, tremelimumab-actl, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9147","description":"Injection, tremelimumab-actl, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enzyme Immunoassay-Chem Constituent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86229","description":"Enzyme Immunoassay-Chem Constituent","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OIWD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3061.23,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mannitol Clearance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83790","description":"Mannitol Clearance","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFTC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1217.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGGB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":91.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKGB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHUF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":888.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCOB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":122.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGEF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, epinephrine in sodium chloride (Endo), 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0163","description":"Injection, epinephrine in sodium chloride (Endo), 0.1 mg","negotiated_rates":[{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":367.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBSC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1397.35,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"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":"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":754.15,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2522.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEIA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":106.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":196.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAEB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EEDD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEFB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":214.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGOC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDVA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":416.78,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":40.63,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":40.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDKC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7182","description":"Injection, factor viii, (antihemophilic factor, recombinant), (novoeight), per iu","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LBRD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGFC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HDSA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4879.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":4879.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5620.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":5620.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBGB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Irradiation of Blood Products, Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86342","description":"Irradiation of Blood Products, Each","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1448.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1287.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 2-5/TRICARE 120-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HB18A","description":"Special Care High , ADL Index 2-5/TRICARE 120-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIID1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3883.31,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3883.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1545.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PARA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/OBRA assessment used for PPS (Not combined with any PPS assessment) when Part A eligibility unknown at time of as","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BB260","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/OBRA assessment used for PPS (Not combined with any PPS assessment) when Part A eligibility unknown at time of as","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HBSE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":298.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBTA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBDC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HBRE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACIC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFGC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFJC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NALC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 6-10/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HC236","description":"Special Care High , ADL Index 6-10/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 2-5/30-day AND EOT OMRA OR 30-day AND EOT OMRA AND SCSA OR 30-day AND EOT OMRA AND SCPA OR 30-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LB134","description":"Special Care Low , ADL Index 2-5/30-day AND EOT OMRA OR 30-day AND EOT OMRA AND SCSA OR 30-day AND EOT OMRA AND SCPA OR 30-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBNA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1497.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cultured Chondrocytes Implnt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7330","description":"Cultured Chondrocytes Implnt","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":184.92,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1004.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCXF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFXE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":233.16,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":233.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDIA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LB216","description":"Special Care Low , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medi","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHUF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJTE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AAED0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIUE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBLC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":215.22,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1029.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBTA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBVF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKJE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GETD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCQE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 0-1/14-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BA120","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 0-1/14-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4386.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJKD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIUF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFNB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NADC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLDD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab plus Extensive, ADL Index 2-10/Stand-alone SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RML02","description":"Medium Rehab plus Extensive, ADL Index 2-10/Stand-alone SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHKF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDPB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 6-10/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CC206","description":"Clinically Complex , ADL Index 6-10/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medic","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGIC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, nonradioactive, noncontrast, visualization adjunct","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9968","description":"Injection, nonradioactive, noncontrast, visualization adjunct","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LCRD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PB112","description":"Reduced Physical Function , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":580.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAPC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":760.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LHYD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACBA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":382.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBRD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":165.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 0-1/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PA121","description":"Reduced Physical Function , ADL Index 0-1/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LFRB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EATE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDFC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":121.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCGE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":7.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEYF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vasoseal Hemostasis Dev","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8504","description":"Vasoseal Hemostasis Dev","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGFB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CICA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGNA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":76.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":32.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":44.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mental Health Partial Hospitalization, Treatment, Less Than 24 Hours","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0035","description":"Mental Health Partial Hospitalization, Treatment, Less Than 24 Hours","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAFA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLHB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIKB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":134.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":134.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":134.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":134.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKCD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAWB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1380.07,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBKD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGPC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJGF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFQA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":35.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1619.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":147.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1619.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MEHD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHKD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HESA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":72.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCFE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHPC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":320.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":100.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inj Estrogen Conjugate 25 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1410","description":"Inj Estrogen Conjugate 25 Mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEDF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDGF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDHA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, durvalumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9492","description":"Injection, durvalumab, 10 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9142","description":"Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCRC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/ perfusion capability)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1725","description":"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/ perfusion capability)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":266.12,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1936.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Palmazcorinthian Iq Trans/Bi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C5005","description":"Palmazcorinthian Iq Trans/Bi","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PLOA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pts who had a completed suicide safety plan initiated, reviewed, or updated in collaboration w/their clinician (concurrent or within 24 hours of the index clinical encounter)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1350","description":"Pts who had a completed suicide safety plan initiated, reviewed, or updated in collaboration w/their clinician (concurrent or within 24 hours of the index clinical encounter)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFDD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4799.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKUC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1842.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1842.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":93.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":229.94,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":139.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Phenylbutazone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84033","description":"Phenylbutazone","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Neurological with Motor >25.85 & Motor <37.35.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0603","description":"Neurological with Motor >25.85 & Motor <37.35.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCOF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":176.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAVE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":426.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, paclitaxel, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9267","description":"Injection, paclitaxel, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MLMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BELF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCRA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cytomegalovirus Imm Iv /Vial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0850","description":"Cytomegalovirus Imm Iv /Vial","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home Modifications, Per Service","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5165","description":"Home Modifications, Per Service","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJPC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BB112","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Radical Prostatectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00865","description":"Anesthesia, Extraperitoneal Proc, Lower Abdomen, W/Urinary Tract; Radical Prostatectomy","negotiated_rates":[{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":416.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":395.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":416.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":416.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIHD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":492.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3288.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HAWC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCEF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Forearm, Wrist, & Hand; Embolectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01842","description":"Anesthesia, Proc On Arteries, Forearm, Wrist, & Hand; Embolectomy","negotiated_rates":[{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIGA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIDE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHWD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIBF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":592.95,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":627.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":627.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":627.92,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":450.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFXB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJVD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFEA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients who did not complete at least one of the four patient experience HU survey items and return the HU survey within 60 days of the ambulatory palliative care visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1252","description":"Patients who did not complete at least one of the four patient experience HU survey items and return the HU survey within 60 days of the ambulatory palliative care visit","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":440.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":440.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":440.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":440.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLIB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KITD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Catecholamines","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82018","description":"Catecholamines","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 6-10/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HC101","description":"Special Care High , ADL Index 6-10/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBNB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":225.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":193.8,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":306.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PHSA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEQC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1228.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"All patients who were diagnosed with recurrent melanoma during the current performance period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1391","description":"All patients who were diagnosed with recurrent melanoma during the current performance period","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1548.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >22.05 & Motor <28.65.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0805","description":"Replacement of lower extremity joint with Motor >22.05 & Motor <28.65.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":72.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":29.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGUC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/TRICARE 120-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BB18A","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/TRICARE 120-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCGA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODNF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inj Enoxaparin Sodium","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1650","description":"Inj Enoxaparin Sodium","negotiated_rates":[{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cranial electrotherapy stimulation (CES) system, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1002","description":"Cranial electrotherapy stimulation (CES) system, any type","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":170.05,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":6.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OABA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKVD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AETC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PIQF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IADB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":155.57,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":10.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":39.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":39.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HFQB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":332.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":332.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":76.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiation therapy for anal cancer under the Radiation Oncology model, 90-day episode, technical component","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1073","description":"Radiation therapy for anal cancer under the Radiation Oncology model, 90-day episode, technical component","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 11-14/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LD135","description":"Special Care Low , ADL Index 11-14/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODYE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rectal Thermometer, Reusable, Any Type, Each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4932","description":"Rectal Thermometer, Reusable, Any Type, Each","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3435.09,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":3435.09,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":70.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":67.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":899.27,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":138.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 11-16/TRICARE 150-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHC8B","description":"High Rehab , ADL Index 11-16/TRICARE 150-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MFDE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODHF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Noninvasive vagus nerve stimulator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1020","description":"Noninvasive vagus nerve stimulator","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDPF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":39.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":92.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":39.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":24.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"LSO flex w/rigid stays cust","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0629","description":"LSO flex w/rigid stays cust","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AHHE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PKQC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 15-16/TRICARE 270-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PE28F","description":"Reduced Physical Function , ADL Index 15-16/TRICARE 270-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEUA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Major multiple trauma with brain or spinal cord injury M >=30.50 and M <40.50.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1805","description":"Major multiple trauma with brain or spinal cord injury M >=30.50 and M <40.50.,comorbidity in tier 1","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLUC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EAME0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJOE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBGB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCFE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIPC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IIAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAPF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IDIE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":660.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAUD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHDE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LAYC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDEC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IATC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LEQA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":19.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":51.31,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1194.74,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":295.87,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":295.87,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":31.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":95.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hippotherapy per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8940","description":"Hippotherapy per session","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":707.92,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":262.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":365.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":272.56,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1009.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MIDB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ECIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBVF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJWC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 6-10/60-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVB40","description":"Very High Rehab , ADL Index 6-10/60-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PIQD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHDC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":7.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, bortezomib (MAIA), not therapeutically equivalent to J9041, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9051","description":"Injection, bortezomib (MAIA), not therapeutically equivalent to J9041, 0.1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatitis B Surface Antigen (Hbsag)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86287","description":"Hepatitis B Surface Antigen (Hbsag)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":523.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":523.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKTD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKDD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGWB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JINF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rheumatoid other arthritis M <51.50 and A <64.50.,comorbidity in tier 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D1305","description":"Rheumatoid other arthritis M <51.50 and A <64.50.,comorbidity in tier 3","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, gadolinium based magnetic resonance contrast agent, not otherwise specified, per ml","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"A9579","description":"Injection, gadolinium based magnetic resonance contrast agent, not otherwise specified, per ml","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 11-14/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA A","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PD226","description":"Reduced Physical Function , ADL Index 11-14/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA A","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":301.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Denileukin Diftitox, 300 Mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9160","description":"Denileukin Diftitox, 300 Mcg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBVA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vett Tube","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1146","description":"Vett Tube","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Acute vitreous hemorrhage","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1333","description":"Acute vitreous hemorrhage","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGYC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGKF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCNE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":157.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":185.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab plus Extensive , ADL Index 2-10/TRICARE 240-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHL8E","description":"High Rehab plus Extensive , ADL Index 2-10/TRICARE 240-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":32.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIGA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0107","description":"Stroke with Motor >26.15 & Motor <30.05.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PERF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1576.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2607.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIJA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1351.93,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":789.53,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":96.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1898.62,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1898.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, aripiprazole, (Abilify Asimtufii), 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9152","description":"Injection, aripiprazole, (Abilify Asimtufii), 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":627.52,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":16.88,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":8.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHFE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAXF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1330.62,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":940.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":389.94,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1621.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Plasma, pooled multiple donor, pathogen reduced, frozen, each unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9070","description":"Plasma, pooled multiple donor, pathogen reduced, frozen, each unit","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pain syndrome M <43.50.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1604","description":"Pain syndrome M <43.50.,comorbidity in tier 1","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBLB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIVF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MLBE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cath plcmt in coronary artery(ies) for CAG w/ lt heart cath, with endoluminal imaging of initial coronary vessel/graft using IVUS/OCT during diag eval/therapeutic interv","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7523","description":"Cath plcmt in coronary artery(ies) for CAG w/ lt heart cath, with endoluminal imaging of initial coronary vessel/graft using IVUS/OCT during diag eval/therapeutic interv","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":12.88,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":471.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AAID1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":476.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAEB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":"0214T","description":"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joi","negotiated_rates":[{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GISD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBLB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HHOD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3500.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJIB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCVB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGKC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFDE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDJD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 6-10/60-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHB42","description":"High Rehab , ADL Index 6-10/60-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFTB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adjust Partial Denture - Maxillary","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"D5421","description":"Adjust Partial Denture - Maxillary","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.56,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":242.17,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3697.17,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":98.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDPF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Orthosphere Arthroplasty","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1450","description":"Orthosphere Arthroplasty","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":937.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology Hep MRNA 161 Genes Risk Classifier","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"0006M","description":"Oncology Hep MRNA 161 Genes Risk Classifier","negotiated_rates":[{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.0,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.0,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.0,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAGE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":554.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":554.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":55.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wallstent Trachultraflex","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C5284","description":"Wallstent Trachultraflex","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 2-5/30-day AND EOT OMRA OR 30-day AND EOT OMRA AND SCSA OR 30-day AND EOT OMRA AND SCPA OR 30-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CB234","description":"Clinically Complex , ADL Index 2-5/30-day AND EOT OMRA OR 30-day AND EOT OMRA AND SCSA OR 30-day AND EOT OMRA AND SCPA OR 30-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20713.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IHEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIRD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":690.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":690.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":690.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":690.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAME0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":773.45,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":665.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":665.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EGDE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEVE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIEC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":451.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGCC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGAB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGPE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBJB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Major multiple trauma with brain or spinal cord injury with Motor >40.85.,comorbidity in tier 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D1801","description":"Major multiple trauma with brain or spinal cord injury with Motor >40.85.,comorbidity in tier 3","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLLD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pregnanetriol","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84138","description":"Pregnanetriol","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":21.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODTC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BABE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, trilaciclib, 1mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1448","description":"Injection, trilaciclib, 1mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFXF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 11-14/30-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HD130","description":"Special Care High , ADL Index 11-14/30-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHUE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":208.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIPD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, aripiprazole lauroxil, (Aristada Initio), 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1943","description":"Injection, aripiprazole lauroxil, (Aristada Initio), 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LGRB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFKE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultracross Imaging Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1038","description":"Ultracross Imaging Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":127.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":2143.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2143.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1068.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DGRA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGEC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MIEC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NICB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2792.29,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":18.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":18.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":35.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":16.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2784.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DEYA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKDA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":25.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":693.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDFF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAUE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OIRB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":205.02,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":612.25,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Stroke with Motor >30.05 & Motor <34.25.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0106","description":"Stroke with Motor >30.05 & Motor <34.25.,comorbidity in tier 1","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1883.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1802.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":543.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":543.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAGE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLKF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":16.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":16.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":16.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDCA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLMD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1562.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEBC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":994.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCBA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BELF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":39.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":92.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":39.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":53.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 6-10/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CC226","description":"Clinically Complex , ADL Index 6-10/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFAC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":703.5,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCGC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2494.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2494.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKYE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MALD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 6-10/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HC221","description":"Special Care High , ADL Index 6-10/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":2142.25,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":167.4,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"RR"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2573.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2573.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":130.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":12.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AIEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIJA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatitis C Antibody","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86302","description":"Hepatitis C Antibody","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJCF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFPE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PKRA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":36.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":27.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGEB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEIB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCQE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":85.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab plus Extensive , ADL Index 2-10/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVL15","description":"Very High Rehab plus Extensive , ADL Index 2-10/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKBC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.09,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.09,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":198.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":198.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2315.92,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":61.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/TRICARE 120-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES38A","description":"Extensive Services , ADL Index 2-16/TRICARE 120-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":145.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, pemetrexed (BluePoint), not therapeutically equivalent to J9305, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9322","description":"Injection, pemetrexed (BluePoint), not therapeutically equivalent to J9305, 10 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEGC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AAAC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HAWE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBJD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1938.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oxycodinone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83948","description":"Oxycodinone","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EGDD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1000.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IITF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HBSC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crystallineactfix,Capsurefix","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C4604","description":"Crystallineactfix,Capsurefix","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1545.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":184.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 6-10/EOT OMRA OR EOT OMRA AND SCSA OR EOT OMRA AND SCPA OR EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HC104","description":"Special Care High , ADL Index 6-10/EOT OMRA OR EOT OMRA AND SCSA OR EOT OMRA AND SCPA OR EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBCB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIHE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":502.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pentamidine comp unit dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7676","description":"Pentamidine comp unit dose","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGWD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCKE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DFSB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DFRC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFDA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JCMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prenatal care, at-risk assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H1000","description":"Prenatal care, at-risk assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 11-16/14-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLB22","description":"Low Rehab, ADL Index 11-16/14-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DCWB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"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"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":169.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":169.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":169.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCNA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":421.82,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":113.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PBWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHYF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":204.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 0-5/14-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHA22","description":"High Rehab , ADL Index 0-5/14-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFVD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCHF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAKC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKCB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Heavy duty elbow feature","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6639","description":"Heavy duty elbow feature","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 15-16/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CE256","description":"Clinically Complex , ADL Index 15-16/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ventak Vr,Prizm Vr, Sc Defib","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1077","description":"Ventak Vr,Prizm Vr, Sc Defib","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAPB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Protein Analysis, Tissue, Western Blot, W/Interpretation & Report","billing_code_type":"HCPCS","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":"negotiated","negotiated_rate":30.78,"expiration_date":"9999-12-31","service_code":["53"],"billing_class":"professional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":36.85,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Cardiac Electrophysiologic Proc W/ Radiofrequency Ablation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00537","description":"Anesthesia, Cardiac Electrophysiologic Proc W/ Radiofrequency Ablation","negotiated_rates":[{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":572.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":572.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":572.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":543.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 2-5/TRICARE 300-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HB18G","description":"Special Care High , ADL Index 2-5/TRICARE 300-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2136.63,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1118.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OIDD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MFHA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":203.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab plus Extensive , ADL Index 11-16/TRICARE 180-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHX8C","description":"High Rehab plus Extensive , ADL Index 11-16/TRICARE 180-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Diabetic indicator; retinal eye exam, dilated, bilateral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S3000","description":"Diabetic indicator; retinal eye exam, dilated, bilateral","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDDD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDPD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LDRA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 11-16/14-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUC20","description":"Ultra High Rehab , ADL Index 11-16/14-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIPE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Niroyal Elite Cor Stent Sys","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C5047","description":"Niroyal Elite Cor Stent Sys","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCMA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LBWC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":387.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dolasetron Mesylate Oral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0180","description":"Dolasetron Mesylate Oral","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amniolevulinic acid HCL for topical administration, 20%, single unit dosage form (354 mg)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7308","description":"Amniolevulinic acid HCL for topical administration, 20%, single unit dosage form (354 mg)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIGE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFXE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDCF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1013.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":66.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":32.96,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":683.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EATC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBCF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFCD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":127.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor >28.65 & Motor <37.05 & Age <83.5.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0804","description":"Replacement of lower extremity joint with Motor >28.65 & Motor <37.05 & Age <83.5.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":412.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":318.26,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ams 650 Penile Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8534","description":"Ams 650 Penile Prosthesis","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EEAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rear Tire Power Wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0090","description":"Rear Tire Power Wheelchair","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HFRC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":296.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR 90-day","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLB56","description":"Low Rehab, ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 90-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR 90-day","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":594.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLKC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9273","description":"Cold or hot fluid bottle, ice cap or collar, heat and/or cold wrap, any type","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCEE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHTB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDVF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lodging per diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9976","description":"Lodging per diem","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEYE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIEF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":128.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PKYE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGFB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AFTC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDOF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1620.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1620.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MEMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBWF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGBF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJYC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKLC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Factor VIIa (antihemophilic factor, recombinant)-jncw (Sevenfact), 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7212","description":"Factor VIIa (antihemophilic factor, recombinant)-jncw (Sevenfact), 1 mcg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DEQF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JCVE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2410.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 6-10/30-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHB32","description":"High Rehab , ADL Index 6-10/30-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiation therapy for CNS tumors under the Radiation Oncology model, 90-day episode, technical component","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1085","description":"Radiation therapy for CNS tumors under the Radiation Oncology model, 90-day episode, technical component","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAIA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIYE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDBF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Receptor sole for use with L8720, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8721","description":"Receptor sole for use with L8720, replacement, each","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGWB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCYA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDCC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1295.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":600.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":600.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MCMA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":534.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHQE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, cetirizine hydrochloride, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9057","description":"Injection, cetirizine hydrochloride, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FABD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIRC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Retinal prosthesis, includes all internal and external components; add-on to C1841","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1842","description":"Retinal prosthesis, includes all internal and external components; add-on to C1841","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sigma 300d Pmkr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1134","description":"Sigma 300d Pmkr","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":169.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGXE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHPF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PKOE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHKA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBBA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, treosulfan, 50 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0614","description":"Injection, treosulfan, 50 mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AIHA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDUC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":488.43,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":597.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":597.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":597.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":597.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":597.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGMD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBBB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PAWB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":121.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 11-14/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LD146","description":"Special Care Low , ADL Index 11-14/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGNE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCQC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PGQD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2531.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHME0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":398.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHJE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGND0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":690.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODLD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MCCA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient pressure aid (sleeve and glove combination), custom made","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8420","description":"Gradient pressure aid (sleeve and glove combination), custom made","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DCSD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIPC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGOE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCIB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Screening Proctoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0601","description":"Screening Proctoscopy","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BANE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGHA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Major multiple trauma without brain or spinal cord injury with Motor >31.05 & Motor <39.25.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1702","description":"Major multiple trauma without brain or spinal cord injury with Motor >31.05 & Motor <39.25.,without comorbidities","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EGMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"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","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Rh Sub Grouping","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86096","description":"Rh Sub Grouping","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IHBA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDEB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGRE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJEF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIFC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLLC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDVB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":1279.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":920.58,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":703.1,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, pemetrexed, NOS, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9305","description":"Injection, pemetrexed, NOS, 10 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHTD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABAE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 11-16/TRICARE 150-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMC8B","description":"Medium Rehab , ADL Index 11-16/TRICARE 150-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AAAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBNC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAXF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAVB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 6-10/14-day AND EOT OMRA OR 14-day AND EOT OMRA AND SCSA OR14-day AND EOT OMRA AND SCPA OR 14-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMB24","description":"Medium Rehab , ADL Index 6-10/14-day AND EOT OMRA OR 14-day AND EOT OMRA AND SCSA OR14-day AND EOT OMRA AND SCPA OR 14-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JCFF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JADE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 6-10/5-day or readmission return AND Medicare short stay assessment AND SCSA OR 5-day or readmission return AND Medicare short stay assessment A","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CC117","description":"Clinically Complex , ADL Index 6-10/5-day or readmission return AND Medicare short stay assessment AND SCSA OR 5-day or readmission return AND Medicare short stay assessment A","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PJOA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CISD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 6-10/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PC136","description":"Reduced Physical Function , ADL Index 6-10/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AN","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKLE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFHC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":507.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":507.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODVB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIFA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 6-10/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CC106","description":"Clinically Complex , ADL Index 6-10/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medic","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1009.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CB212","description":"Clinically Complex , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx Velocity Stent","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C5024","description":"Bx Velocity Stent","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 0-5/30-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 30-day AND SOT OMRA (not M","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUA33","description":"Ultra High Rehab , ADL Index 0-5/30-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 30-day AND SOT OMRA (not M","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HCSA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3600.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immunoassay Technique For Drugs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82662","description":"Immunoassay Technique For Drugs","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":228.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLGE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx Velocity Stnt W/Raptor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C5038","description":"Bx Velocity Stnt W/Raptor","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1129.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1311.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1311.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1311.99,"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":66.97,"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":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBDC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDSD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1315.34,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IETE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, lumasiran, 0.5 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0224","description":"Injection, lumasiran, 0.5 mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":329.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":493.58,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":15.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":57.08,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":41.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Suspend, Per 24/28 Sq Cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1854","description":"Suspend, Per 24/28 Sq Cm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBDD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JETB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1902.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5418.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5418.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":253.66,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IATB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1605.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1605.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Delivery or service to high risk areas requiring escort or extra protection, per visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9381","description":"Delivery or service to high risk areas requiring escort or extra protection, per visit","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFDC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AIIE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIXF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, inebilizumab-cdon, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1823","description":"Injection, inebilizumab-cdon, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFLC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LFWB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIYA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJCD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHDF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGFA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJKD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":530.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAQF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIBB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHJC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHOB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCTF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mycophenolic acid, oral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9219","description":"Mycophenolic acid, oral","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2783.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAJF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKCE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GACE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PGRF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBAE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NECA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.8,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":62.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":6.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PJWD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 6-10/60-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PC140","description":"Reduced Physical Function , ADL Index 6-10/60-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFIC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2569.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICDD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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)","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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":282.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":282.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":282.88,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":282.88,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.55,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":37.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJEA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDNA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 0-1/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PA113","description":"Reduced Physical Function , ADL Index 0-1/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBSB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab plus Extensive , ADL Index 11-16/14-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 14-day AN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUX23","description":"Ultra High Rehab plus Extensive , ADL Index 11-16/14-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 14-day AN","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LHWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBEA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGEB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":387.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":387.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":387.53,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1056.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBTB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCED0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 2-5/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CB111","description":"Clinically Complex , ADL Index 2-5/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":760.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ADAC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2610.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2610.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":150.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGCB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amplatz Renal Dil","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8543","description":"Amplatz Renal Dil","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IETA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MHLB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1490.62,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":342.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDYD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, cetirizine HCl, 0.5 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1201","description":"Injection, cetirizine HCl, 0.5 mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 0-1/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BA121","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 0-1/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.12,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Viscosity","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84589","description":"Viscosity","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGBB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EATC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":34284.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODXB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLTA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":914.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IAIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 11-14/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PD211","description":"Reduced Physical Function , ADL Index 11-14/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACCA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Metoclopramide Hcl Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2765","description":"Metoclopramide Hcl Injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDFB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":627.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBIC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCDE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab plus Extensive , ADL Index 2-16/90-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLX50","description":"Low Rehab plus Extensive , ADL Index 2-16/90-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEUF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1148.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBLE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":48.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":31.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":363.81,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":87.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IILF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1242.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1411","description":"Injection, etranacogene dezaparvovec-drlb, per therapeutic dose","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody Screen, Rbc, Each Serum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86016","description":"Antibody Screen, Rbc, Each Serum","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDJD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PBRA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLWA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGLC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1035.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 2-5/5-day or readmission return AND Medicare short stay assessment AND SCSA OR 5-day or readmission return AND Medicare short stay assessment AN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CB217","description":"Clinically Complex , ADL Index 2-5/5-day or readmission return AND Medicare short stay assessment AND SCSA OR 5-day or readmission return AND Medicare short stay assessment AN","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 2-5/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LB235","description":"Special Care Low , ADL Index 2-5/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLPA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAFD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":137.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACLB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Duraderm, Per 48 Sq Cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1860","description":"Duraderm, Per 48 Sq Cm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":321.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCNA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBPE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BATC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIXA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BECD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":42.84,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":42.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKJF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHFD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1095.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFKA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJNF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDHD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":16.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIGD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DBOC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pulsar Ssi, Sc, Pmkr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1182","description":"Pulsar Ssi, Sc, Pmkr","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHHE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 11-16/5-day or readmission return.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLB10","description":"Low Rehab, ADL Index 11-16/5-day or readmission return.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDHF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIQF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":891.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAIB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":99.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":546.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2962.34,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":2962.34,"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":[7],"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":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJDC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HCRE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":145.49,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":33.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":33.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGTD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":282.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":282.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":282.88,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":282.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transplant Bone Marrow","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85120","description":"Transplant Bone Marrow","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGLE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEVF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 2-5/TRICARE 330-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HB28H","description":"Special Care High , ADL Index 2-5/TRICARE 330-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":912.54,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":712.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ipratropium Brom Inh Sol U D","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7644","description":"Ipratropium Brom Inh Sol U D","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCQC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":19.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHUC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Stages I-III breast cancer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1394","description":"Stages I-III breast cancer","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"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"},{"negotiated_type":"fee schedule","negotiated_rate":311.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"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"}]}]},{"negotiation_arrangement":"ffs","name":"Protein,Spinal Fluid;electroph.Fraction/","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84200","description":"Protein,Spinal Fluid;electroph.Fraction/","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Tracheobronchial Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00539","description":"Anesthesia, Tracheobronchial Reconstruction","negotiated_rates":[{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":988.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":988.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":988.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":938.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 0-1/TRICARE Post 360-day assessments with 30-day interval","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PA18X","description":"Reduced Physical Function , ADL Index 0-1/TRICARE Post 360-day assessments with 30-day interval","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GECE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGOF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDFF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DFWD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3659.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"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":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3659.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"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":2732.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3659.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bradykinin","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"82286","description":"Bradykinin","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.78,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODQB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immunosuppressive Drug Noc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7599","description":"Immunosuppressive Drug Noc","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 0-5/60-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 60-day AND SOT OMRA (not Medic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMA43","description":"Medium Rehab , ADL Index 0-5/60-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 60-day AND SOT OMRA (not Medic","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCQC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":174.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":174.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFLB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LAWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEME0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHXE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5208.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHYD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBBA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":49.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab plus Extensive, ADL Index 2-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RML45","description":"Medium Rehab plus Extensive, ADL Index 2-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAAC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIRC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":928.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":477.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"BMI is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1286","description":"BMI is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1773.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHSB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DDYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":384.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":384.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1596.74,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":438.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":301.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1695.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IHLC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1138.46,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODVF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2509.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":2509.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHTE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEQE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":29.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.88,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.88,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":465.52,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":179.29,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":120.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKTE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGID1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":47.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":22.88,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IEEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCLB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 0-1/TRICARE 240-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PA18E","description":"Reduced Physical Function , ADL Index 0-1/TRICARE 240-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDCE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":145.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEKF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2541.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJNE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2219.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enteral Wallstent--90mm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C5134","description":"Enteral Wallstent--90mm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DIRC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICHF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NENA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JENA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PLOF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1753.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EHMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":187.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJBD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 6-10/Stand-alone COT OMRA whether or not combined w/ unscheduled OBRA SCSA or SCPA or CCA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HC20D","description":"Special Care High , ADL Index 6-10/Stand-alone COT OMRA whether or not combined w/ unscheduled OBRA SCSA or SCPA or CCA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLNF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1010.63,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":119.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEWD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DEYE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pegaspargase/Singl Dose Vial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9266","description":"Pegaspargase/Singl Dose Vial","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":276.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation stating the patient has received or is currently receiving palliative or hospice care","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1307","description":"Documentation stating the patient has received or is currently receiving palliative or hospice care","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":922.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEXE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":44.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":44.92,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":244.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDFE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1007.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 0-1/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PA215","description":"Reduced Physical Function , ADL Index 0-1/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Buprenorphine Hydrochloride, 0.1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0592","description":"Injection, Buprenorphine Hydrochloride, 0.1 Mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 11-14/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LD246","description":"Special Care Low , ADL Index 11-14/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":176.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1766.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1766.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1028.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":464.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 6-10/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PC213","description":"Reduced Physical Function , ADL Index 6-10/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicar","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBQF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sterile saline or water","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4218","description":"Sterile saline or water","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, benralizumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9466","description":"Injection, benralizumab, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND S","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BB206","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 2-5/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND S","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":537.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":8997.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8997.64,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AHME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab plus Extensive , ADL Index 2-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT O","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUL46","description":"Ultra High Rehab plus Extensive , ADL Index 2-10/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT O","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":128.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":128.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":87.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":87.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":5.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":87.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":116.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":5.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PKWB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBUF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C5271","description":"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGRD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EEBD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Impra Venaflo-30/40cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C6202","description":"Impra Venaflo-30/40cm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Trans elec jt stim dev sys","billing_code_type":"CPT","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":2142.25,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.54,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"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":16.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3464.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3464.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEVA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":23.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFVF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":387.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":387.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":387.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vincristine Sulfate 1 Mg Inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9370","description":"Vincristine Sulfate 1 Mg Inj","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGGD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab plus Extensive , ADL Index 2-10/14-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHL20","description":"High Rehab plus Extensive , ADL Index 2-10/14-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IIBA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCJB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OINF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCPC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1075.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1075.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PCOD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBPB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFNF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":496.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 11-14/14-day AND SOT OMRA (not Medicare short stay) and EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LD125","description":"Special Care Low , ADL Index 11-14/14-day AND SOT OMRA (not Medicare short stay) and EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":190.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABCF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 6-10/60-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PC240","description":"Reduced Physical Function , ADL Index 6-10/60-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IFUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AFBC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDSD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 11-16/TRICARE 270-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUC8F","description":"Ultra High Rehab , ADL Index 11-16/TRICARE 270-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":27.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":3.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":3.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":24.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CITE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1380.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGPD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDKE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.19,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":10.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":511.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACMD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":963.59,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":11.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDTC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHNF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nonpneumatic compression controller with sequential calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K1024","description":"Nonpneumatic compression controller with sequential calibrated gradient pressure","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCUF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pulmonary with Motor >39.05 & Motor <49.25.,comorbidity in tier 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D1502","description":"Pulmonary with Motor >39.05 & Motor <49.25.,comorbidity in tier 3","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":19.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":343.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":343.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 15-16/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LE111","description":"Special Care Low , ADL Index 15-16/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oral aprepitant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8501","description":"Oral aprepitant","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, remimazolam, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2249","description":"Injection, remimazolam, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBBE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":146.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIRA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1819.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCIE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DCSC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFOD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hyoscyamine Sulfate Inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1980","description":"Hyoscyamine Sulfate Inj","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBLB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":250.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGJC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HHRA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":731.64,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":606.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":606.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDFC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OELA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":180.1,"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":[7],"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDCF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CILA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDCB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PEWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DFYB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1312.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DCSD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFYE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFCB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIQE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AHCA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKGC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MCEB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HFQD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN7 (ataxin 7) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles","billing_code_type":"HCPCS","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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.44,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGCA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDWC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGGE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), any specimen source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9803","description":"Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), any specimen source","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IILC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AFAC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.63,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":109.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":17.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Facial Bones/Skull; Nos","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00190","description":"Anesthesia, Proc On Facial Bones/Skull; Nos","negotiated_rates":[{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":296.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":312.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":312.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":312.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIJF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCOC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBKA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBBD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":708.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":808.25,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1184.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MFTC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":33.11,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":33.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":23.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab plus Extensive , ADL Index 2-10/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT O","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUL36","description":"Ultra High Rehab plus Extensive , ADL Index 2-10/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT O","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":607.87,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":607.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":668.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":228.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Major multiple trauma without brain or spinal cord injury with Motor <25.55.,without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1704","description":"Major multiple trauma without brain or spinal cord injury with Motor <25.55.,without comorbidities","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 15-16/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HE206","description":"Special Care High , ADL Index 15-16/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medic","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLND1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BICD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEKE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBDB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1650.61,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHPD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HDQA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGVD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":556.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":556.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol (Ethanol) Gelation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82072","description":"Alcohol (Ethanol) Gelation","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHRA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHLA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor>51.35, comorbidity in tier 3s","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0501","description":"Non-traumatic spinal cord injury with Motor>51.35, comorbidity in tier 3s","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDJA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEJC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGLB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEBD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGIA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1189.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGTC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Droperidol Injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1790","description":"Droperidol Injection","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PCRC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Stroke with Motor >34.25 & Motor <38.85.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0105","description":"Stroke with Motor >34.25 & Motor <38.85.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":852.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crisis Intervention Mental H","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9485","description":"Crisis Intervention Mental H","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHYB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mannitol Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2150","description":"Mannitol Injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEBA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JABF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":179.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":179.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PFSE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PDQD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBND1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intravaginal Culture (Ivc), Case Rate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4036","description":"Intravaginal Culture (Ivc), Case Rate","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BINF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PKOC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 2-5/TRICARE 330-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LB28H","description":"Special Care Low , ADL Index 2-5/TRICARE 330-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":264.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAJF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Default, /SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medicare short stay) AND EOT OM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AAA06","description":"Default, /SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medicare short stay) AND EOT OM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Burns with Motor>0, comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2101","description":"Burns with Motor>0, comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 2-5/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PB135","description":"Reduced Physical Function , ADL Index 2-5/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBUD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":257.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 11-14/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CD115","description":"Clinically Complex , ADL Index 11-14/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":"CPT","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":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":109.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":72.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.23,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":6.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":960.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gore-Texplus 2mm, 432 Sq Cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C6031","description":"Gore-Texplus 2mm, 432 Sq Cm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cytopathology cerv/vag collect in fluid auto thin layer prep w/man scrn&comp-asst rescreen cell select&rev MD supvision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88145","description":"Cytopathology cerv/vag collect in fluid auto thin layer prep w/man scrn&comp-asst rescreen cell select&rev MD supvision","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CASA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inversion/eversion correction device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9285","description":"Inversion/eversion correction device","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDNE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":297.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MLUA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Dx Arteriography/Venography","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01916","description":"Anesthesia, Dx Arteriography/Venography","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":312.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"F18 fdg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9552","description":"F18 fdg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBKC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":104.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":104.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MILF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Focusing on women's health MIPS value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1366","description":"Focusing on women's health MIPS value pathway","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Breast inters rad tx, immed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9714","description":"Breast inters rad tx, immed","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":529.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HGRA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IHLA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tr1102trsr+2260l,2264l,5131","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1156","description":"Tr1102trsr+2260l,2264l,5131","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EGIF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDVB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab plus Extensive , ADL Index 11-16/TRICARE 330-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUX8H","description":"Ultra High Rehab plus Extensive , ADL Index 11-16/TRICARE 330-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":6.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MCAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral Symptoms and Cognitive Performance , ADL Index 0-1/60-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BA140","description":"Behavioral Symptoms and Cognitive Performance , ADL Index 0-1/60-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGTA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGNB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHGE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9967.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":595.19,"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EICB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":815.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCSA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.76,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":31.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAFF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGGD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":19.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBLF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1025.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGUA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":592.49,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":317.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LHYF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDCF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFKE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BELB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3076.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hydralazine Hcl Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0360","description":"Hydralazine Hcl Injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFGA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHQC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PCSA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAKC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBBC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vascular embolization or occlusion procedure with use of a pressure-generating catheter for tumors, organ ischemia, or infarction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9797","description":"Vascular embolization or occlusion procedure with use of a pressure-generating catheter for tumors, organ ischemia, or infarction","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AICD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter implant of coronary sinus reduction device/placebo control,  performed in an approved IDE study","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9783","description":"Transcatheter implant of coronary sinus reduction device/placebo control,  performed in an approved IDE study","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Itch severity assessment score is reduced by three or more points from the initial (index) assessment score to the follow-up visit score","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1205","description":"Itch severity assessment score is reduced by three or more points from the initial (index) assessment score to the follow-up visit score","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":918.97,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":918.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1741.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1741.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 6-10/TRICARE 270-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVB8F","description":"Very High Rehab , ADL Index 6-10/TRICARE 270-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PJYB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"I131 tositumomab, rx","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9545","description":"I131 tositumomab, rx","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab plus Extensive , ADL Index 2-16/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLX36","description":"Low Rehab plus Extensive , ADL Index 2-16/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":677.37,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHAC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JILC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHND1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MLAC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OITF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4921.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":528.23,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":528.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2065.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":109.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":137.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHID0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHXC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJBA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJKF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDCC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":317.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":287.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MLEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":567.62,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3538.94,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":180.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":3538.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":85.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1355.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KANA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 11-16/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUC26","description":"Ultra High Rehab , ADL Index 11-16/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA O","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBIF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KICB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1335.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 11-16/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMC44","description":"Medium Rehab , ADL Index 11-16/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":449.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIQA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":523.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3033.86,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":550.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CARE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDVE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCLB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":73.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 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":"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1354.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1354.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1354.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Atropine Sulfate Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0460","description":"Atropine Sulfate Injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIFC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 2-5/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PB246","description":"Reduced Physical Function , ADL Index 2-5/60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 60-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDFE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFGF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Floxuridine 500 Mg Brand Name","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9426","description":"Floxuridine 500 Mg Brand Name","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":709.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":161.41,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":492.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":357.78,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":71.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":250.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":179.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCHA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AADC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tissue Typg; For Organ Transplant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86810","description":"Tissue Typg; For Organ Transplant","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99999.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HDWD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LAWC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LARA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LB115","description":"Special Care Low , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODQA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1270.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHPC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAPB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":420.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FECF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":623.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Seal-Awayguiding Introducer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C6651","description":"Seal-Awayguiding Introducer","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients who died during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1387","description":"Patients who died during the performance period","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":556.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":556.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":490.84,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":118.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":13.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":118.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 11-16/OBRA assessment used for PPS (Not combined with any PPS assessment) when Part A eligibility unknown at time of assessment due to one of the f","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVC60","description":"Very High Rehab , ADL Index 11-16/OBRA assessment used for PPS (Not combined with any PPS assessment) when Part A eligibility unknown at time of assessment due to one of the f","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1238.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBUE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unskilled Respite Care, Not Hospice, Per Diem","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5151","description":"Unskilled Respite Care, Not Hospice, Per Diem","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBLA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IDCE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKCA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":"CPT","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":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":630.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":420.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAGB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1671.92,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBPD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":233.16,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":233.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Spcl Care High ADL Index 2-5/PPS 14 day combd w SOT OMRA (not short stay) and COT OMRA reporting ROT may be combd w any the following, unscheduled OBRA SCSA or SCPA or CCA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HB12D","description":"Spcl Care High ADL Index 2-5/PPS 14 day combd w SOT OMRA (not short stay) and COT OMRA reporting ROT may be combd w any the following, unscheduled OBRA SCSA or SCPA or CCA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MIAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2045.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2879.64,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.86,"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":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":349.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":349.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":349.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":349.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHNA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Eval on foot not performed","billing_code_type":"CPT","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":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGBE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJUF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIGC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.41,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBKB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1692.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab plus Extensive , ADL Index 11-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHX01","description":"High Rehab plus Extensive , ADL Index 11-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":582.5,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":488.66,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":488.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDBC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LBWC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OIQE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGGE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PFYE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":176.19,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":176.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"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":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGFF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1184.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bard Eptfe: 150 Sq Cm-2mm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C6034","description":"Bard Eptfe: 150 Sq Cm-2mm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":28.94,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":4.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3600.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 0-10/14-day AND EOT OMRA OR 14-day AND EOT OMRA AND SCSA OR14-day AND EOT OMRA AND SCPA OR 14-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLA24","description":"Low Rehab, ADL Index 0-10/14-day AND EOT OMRA OR 14-day AND EOT OMRA AND SCSA OR14-day AND EOT OMRA AND SCPA OR 14-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bifocal vision prescription lens (safety, athletic, or sunglass), per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0506","description":"Bifocal vision prescription lens (safety, athletic, or sunglass), per lens","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1234.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":467.53,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":209.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc, Cervical Spine & Cord; Proc W/Patient Sitting","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00604","description":"Anesthesia, Proc, Cervical Spine & Cord; Proc W/Patient Sitting","negotiated_rates":[{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":728.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":728.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":728.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":691.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LHQC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EITE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":665.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":665.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 0-5/30-day AND SCSA OR 30-day AND SCPA OR 30-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUA31","description":"Ultra High Rehab , ADL Index 0-5/30-day AND SCSA OR 30-day AND SCPA OR 30-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKCA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":148.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":148.81,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1129.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1311.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1311.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1311.99,"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":66.97,"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":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHHE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thallous Chloride Tl 201/Mci","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9505","description":"Thallous Chloride Tl 201/Mci","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"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":"Bradykinin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82286","description":"Bradykinin","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGKC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":11.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFVC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCDA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBGA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IADD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 0-1/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CA111","description":"Clinically Complex , ADL Index 0-1/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIEB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":652.85,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3064.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFLA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DDRE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGNA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHNE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LESF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBJF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGCA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDQC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLPB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1161.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHHA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHNA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":622.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 2-5/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CB121","description":"Clinically Complex , ADL Index 2-5/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FATB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":501.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"injection, tbo-filgrastim, 1 microgram","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1447","description":"injection, tbo-filgrastim, 1 microgram","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MHIF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACHE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laronidase injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1931","description":"Laronidase injection","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":40.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBRE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":879.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Phenylpropanolamine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84038","description":"Phenylpropanolamine","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1398.96,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":693.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBFC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":355.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGUC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIKA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LCWD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":16.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1340.06,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1340.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDRC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KINE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ECHC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCRD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EECB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Monitoring feature/deviceNOC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9279","description":"Monitoring feature/deviceNOC","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2448.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DHYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKFA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":529.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Contour Md Sc Defib","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1148","description":"Contour Md Sc Defib","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHWE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2307.19,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDUC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CESD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Catheter, ureteral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1758","description":"Catheter, ureteral","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFTB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7563","description":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MHCF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFIE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEJE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEWB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":130.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":719.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":850.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":113.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIDA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCBF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IAEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIBE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":282.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GCLF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5512.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3323.33,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.72,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":557.57,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEPF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EHTB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":415.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFVA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDDE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":227.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":52.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":227.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":174.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":174.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGKA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":539.08,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":570.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, ecallantide, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1290","description":"Injection, ecallantide, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEWC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":42.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":105.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBQE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mycophenolate Mofetil Oral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7517","description":"Mycophenolate Mofetil Oral","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 6-10/5-day or readmission return AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CC112","description":"Clinically Complex , ADL Index 6-10/5-day or readmission return AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":99.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MEEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEKE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 15-16/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission return AND SOT OMRA (not","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CE116","description":"Clinically Complex , ADL Index 15-16/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission return AND SOT OMRA (not","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDRE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Botulinum tox B, per 100 u","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9018","description":"Botulinum tox B, per 100 u","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":293.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ACCB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":137.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":137.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Totazoline Hcl Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2670","description":"Totazoline Hcl Injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.64,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":121.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":72.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, alglucosidase alfa, (lumizyme), 10 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0221","description":"Injection, alglucosidase alfa, (lumizyme), 10 mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":206.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":309.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2227.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Refill/maint of portable/implantable pump/reservoir for drug delivery for therapy/diagnosis, systemic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8956","description":"Refill/maint of portable/implantable pump/reservoir for drug delivery for therapy/diagnosis, systemic","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCKB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EAAB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LAYA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":147.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":183.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":147.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":115.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":115.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":183.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3807.34,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":764.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 0-10/30-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 30-day AND SOT OMRA (not Medicare","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLA33","description":"Low Rehab, ADL Index 0-10/30-day AND SOT OMRA (not Medicare short stay) AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND SCPA OR 30-day AND SOT OMRA (not Medicare","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cisplatin 10 Mg Injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9060","description":"Cisplatin 10 Mg Injeciton","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFVC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1129.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1311.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1311.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":66.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1311.99,"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":66.97,"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":"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1452.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1452.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HDWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/TRICARE 360-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES38I","description":"Extensive Services , ADL Index 2-16/TRICARE 360-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBDB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AFAE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCFC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MICF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHID1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":972.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDFD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1621.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Contraceptive intrauterine device (e.g., Progestacert IUD), including implants and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4989","description":"Contraceptive intrauterine device (e.g., Progestacert IUD), including implants and supplies","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHIB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cath plcmt in coronary artery(ies) for CAG w/ rt & lt heart cath w/ endoluminal imaging of initial coronary vessel/ graft using IVUS/OCT during diag eval/therapeutic interv","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7527","description":"Cath plcmt in coronary artery(ies) for CAG w/ rt & lt heart cath w/ endoluminal imaging of initial coronary vessel/ graft using IVUS/OCT during diag eval/therapeutic interv","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PJOE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1227.31,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGXB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care High , ADL Index 15-16/30-day AND SCSA OR 30-day AND SCPA OR 30-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HE231","description":"Special Care High , ADL Index 15-16/30-day AND SCSA OR 30-day AND SCPA OR 30-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDLD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DEYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, givosiran, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9056","description":"Injection, givosiran, 0.5 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCOB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJCC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDGF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2448.56,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2448.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy,","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9746","description":"Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy,","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.89,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":16.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKCA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCJB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEJC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JDDC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAFC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEHA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":828.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Platelet Conc, L/R, Unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1013","description":"Platelet Conc, L/R, Unit","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEVE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IHHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDVE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGCC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 11-14/TRICARE 330-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CD28H","description":"Clinically Complex , ADL Index 11-14/TRICARE 330-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MEDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHDE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non ER Transport Mini-Bus","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0120","description":"Non ER Transport Mini-Bus","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PFWE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HESD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBID1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":381.9,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":169.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":266.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":97.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFOC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCRE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cyclosporine Oral 100 Mg Brand Name","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9438","description":"Cyclosporine Oral 100 Mg Brand Name","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1504.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1504.69,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":121.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":121.4,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":194.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1814.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 11-16/TRICARE 120-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMC8A","description":"Medium Rehab , ADL Index 11-16/TRICARE 120-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cortisol;after Acth Administration","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82536","description":"Cortisol;after Acth Administration","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LEYE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5776.46,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1024.6,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"RR"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1024.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":5776.46,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5776.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 2-5/OBRA assessment used for PPS (Not combined with any PPS assessment) when Part A eligibility unknown at time of assessment due to one","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PB160","description":"Reduced Physical Function , ADL Index 2-5/OBRA assessment used for PPS (Not combined with any PPS assessment) when Part A eligibility unknown at time of assessment due to one","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LHRC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HAWE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":48.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFGB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EHBB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":329.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":329.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AGTB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGPD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IHTF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MHTD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEXB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PKWF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MIHF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJTD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Peginesatide injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0890","description":"Peginesatide injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDPC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FECD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":207.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAYF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PCSB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1193.14,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":200.6,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":360.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIUB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":12.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":491.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HDSB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Glycopyrrolate Inhal Sol Con","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7642","description":"Glycopyrrolate Inhal Sol Con","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antiemetic rectal/supp NOS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8498","description":"Antiemetic rectal/supp NOS","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCTF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Technetium Tc 99 mm tilmanocept, diagnostic, ip to 0.5 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1204","description":"Technetium Tc 99 mm tilmanocept, diagnostic, ip to 0.5 millicuries","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AIUE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":96.22,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":266.64,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"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":2799.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKKA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLFA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BAPF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCRD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGBA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cytomegalovirus Imm Iv /Vial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0850","description":"Cytomegalovirus Imm Iv /Vial","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1808.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2712.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEKC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, full length/chap style, 30-40 mm Hg, custom, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6560","description":"Gradient compression stocking, full length/chap style, 30-40 mm Hg, custom, each","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":129.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFNF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":799.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEIC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DHWB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCJB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":419.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GICA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHGA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":216.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEUD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIJD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":360.15,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1504.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1504.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFLC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCKC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLGF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIPA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAKD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLAC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEDB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab plus Extensive , ADL Index 2-16/60-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLX40","description":"Low Rehab plus Extensive , ADL Index 2-16/60-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFBA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":976.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 6-10/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUB01","description":"Ultra High Rehab , ADL Index 6-10/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBUD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IELC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, talimogene laherparepvec, per 1 million plaque forming units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9325","description":"Injection, talimogene laherparepvec, per 1 million plaque forming units","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEKB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CBVF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKDA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":369.04,"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":63.07,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"NU"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.34,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":55.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEVA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCYD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCKA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2158.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1337.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGED0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDIF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LBYB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBBE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGNC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES311","description":"Extensive Services , ADL Index 2-16/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCOD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBTA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":122.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":122.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":799.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LDYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":27.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":3.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":3.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":24.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient did not respond to the question of \"Patient felt this provider and team saw me as a person, not just someone with a medical problem\"","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1241","description":"Patient did not respond to the question of \"Patient felt this provider and team saw me as a person, not just someone with a medical problem\"","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, ecallantide, 1 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1290","description":"Injection, ecallantide, 1 mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":579.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":869.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chlordiazepoxide;urine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82425","description":"Chlordiazepoxide;urine","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEXA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":162.52,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":162.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGJB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Palmaz Corinthian Bil Stent","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1333","description":"Palmaz Corinthian Bil Stent","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EALA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHIB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":708.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission return AND SOT OMRA (not M","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES316","description":"Extensive Services , ADL Index 2-16/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission return AND SOT OMRA (not M","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 6-10/5-day or readmission return AND EOT OMRA OR 5-day or readmission return AND EOT OMRA AND SCSA OR 5-day or readmission return AND EOT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PC114","description":"Reduced Physical Function , ADL Index 6-10/5-day or readmission return AND EOT OMRA OR 5-day or readmission return AND EOT OMRA AND SCSA OR 5-day or readmission return AND EOT","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":414.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKNA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGXF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EGTA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DFYA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BALC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LEYD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":894.05,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":85.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":311.15,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":225.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1938.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, daxibotulinumtoxina-lanm, 1 unit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0589","description":"Injection, daxibotulinumtoxina-lanm, 1 unit","negotiated_rates":[{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAGB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chlorothiazide Sodium Inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1205","description":"Chlorothiazide Sodium Inj","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":203.41,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":387.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":387.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":387.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FATA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.88,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAUA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 11-16/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission return AND SOT OMRA (not Me","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUC16","description":"Ultra High Rehab , ADL Index 11-16/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 5-day or readmission return AND SOT OMRA (not Me","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCIE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chemodenervation of adductor muscle(s) of vocal cord","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S2341","description":"Chemodenervation of adductor muscle(s) of vocal cord","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCIF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBKA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDUE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":227.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCCE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NHBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AIDD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIID1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1303.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAQC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HHWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DHYE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":927.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1336.09,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":486.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCDD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEVE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 6-10/14-day AND SOT OMRA (not Medicare short stay) and EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVB25","description":"Very High Rehab , ADL Index 6-10/14-day AND SOT OMRA (not Medicare short stay) and EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":"HCPCS","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":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":107.0,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":119.84,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":107.0,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":107.0,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":329.05,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":254.47,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":699.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EITC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHDB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unspecified Oral Surgery Procedure, By Report","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7999","description":"Unspecified Oral Surgery Procedure, By Report","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":712.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ADEA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FETD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Burns with Motor >0.,comorbidity in tier 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2101","description":"Burns with Motor >0.,comorbidity in tier 3","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 11-16/30-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVC32","description":"Very High Rehab , ADL Index 11-16/30-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OANF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEHC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":759.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":759.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":759.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":759.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGDC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":5.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.76,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":24.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PHWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBMD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEFD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":174.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AIMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BEHE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":383.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAPD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MCLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, mosunetuzumab-axgb, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9350","description":"Injection, mosunetuzumab-axgb, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHDE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ongoing care not clinically indicated, the patient needed a home program only, referral to another provider/facility, or consultation only, as documented in the medical record","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1132","description":"Ongoing care not clinically indicated, the patient needed a home program only, referral to another provider/facility, or consultation only, as documented in the medical record","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab plus Extensive, ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMX52","description":"Medium Rehab plus Extensive, ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEMD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1248.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1388.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":72.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1278.77,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":74.75,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"RR"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EGBE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBAE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGVF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":29.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":732.44,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":546.72,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression wrap with adjustable straps, foot, each, custom","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6516","description":"Gradient compression wrap with adjustable straps, foot, each, custom","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEYA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHJF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IGLE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 15-16/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LE115","description":"Special Care Low , ADL Index 15-16/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OITD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JECA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGFF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFED0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEGE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEJF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDVC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HISB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":51.46,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":192.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 6-10/30-day AND EOT OMRA OR 30-day AND EOT OMRA AND SCSA OR 30-day AND EOT OMRA AND SCPA OR 30-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PC134","description":"Reduced Physical Function , ADL Index 6-10/30-day AND EOT OMRA OR 30-day AND EOT OMRA AND SCSA OR 30-day AND EOT OMRA AND SCPA OR 30-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGEE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1824.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9961","description":"Ambulance service, conventional air service, nonemergency transport, one way (rotary wing)","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":44.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":44.92,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":941.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AEME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":94.41,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":94.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAKB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PBRE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unspecified Periodontal Procedure, By Report","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D4999","description":"Unspecified Periodontal Procedure, By Report","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Neuromuscular electrical stim disp replc only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4560","description":"Neuromuscular electrical stim disp replc only","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":597.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MABC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OABE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICBB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":600.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.56,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MFAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Generator, neurostimulator (implantable), nonrechargeable, with implantable stimulation lead and external paired stimulation controller","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1827","description":"Generator, neurostimulator (implantable), nonrechargeable, with implantable stimulation lead and external paired stimulation controller","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":769.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHHA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":81.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1316.55,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1345.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MAHE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CABC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGXC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EAHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ECHB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Abbi Disp Biopsy Device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1170","description":"Abbi Disp Biopsy Device","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Easytrak Defib Lead","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C3002","description":"Easytrak Defib Lead","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":720.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHCD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IDAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4947.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":4947.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood Xmatch;antiglobulin Technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86074","description":"Blood Xmatch;antiglobulin Technique","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":430.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCDC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJTB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHSA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCAD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":352.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":741.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKEB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGDA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4491.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2240.35,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.54,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":844.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEUD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIUB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKVF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLRA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":9.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ADAC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab plus Extensive , ADL Index 2-16/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLX44","description":"Low Rehab plus Extensive , ADL Index 2-16/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDGD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PERE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDLA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HEOB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIGD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCOB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JINB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":491.24,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":147.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":183.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":147.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":115.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":115.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":183.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKUC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KESE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 2-5/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PB201","description":"Reduced Physical Function , ADL Index 2-5/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ammonium Chloride Loading Test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82142","description":"Ammonium Chloride Loading Test","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":851.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJMC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CELA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":226.33,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGRB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":147.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDTF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IEAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OESB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLRD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adjustable Chair For Esrd Pt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1570","description":"Adjustable Chair For Esrd Pt","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IDDA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBHC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cromolyn Sodium Inh Sol U D","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7631","description":"Cromolyn Sodium Inh Sol U D","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBRD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4629.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGKB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKHB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1425.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AATA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":822.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAUC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFLF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":715.56,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":12.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEFD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Annual Gynecological Examina","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0610","description":"Annual Gynecological Examina","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":377.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PHOC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCBC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":199.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, immune globulin (hizentra), 100 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J1559","description":"Injection, immune globulin (hizentra), 100 mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODPC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3191.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3191.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKCC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17121.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDCA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Composix Mesh 80 In","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C6004","description":"Composix Mesh 80 In","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 15-16/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CE211","description":"Clinically Complex , ADL Index 15-16/5-day or readmission return AND SCSA OR 5-day or readmission return AND SCPA OR 5-day or readmission return AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBQA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KENE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHOA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Azathioprine Parenteral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7501","description":"Azathioprine Parenteral","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EHDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGFE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Anesthesia Proc(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01999","description":"Unlisted Anesthesia Proc(S)","negotiated_rates":[{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":52.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Aldesleukin/Single Use Vial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9015","description":"Aldesleukin/Single Use Vial","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":29.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JACE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HHRA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":724.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":39.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LISE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2614.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAEA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFAC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient status documented within the first year of initiating dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1259","description":"Patient status documented within the first year of initiating dialysis","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OECD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Torsion Ank & Half Solid Sti","billing_code_type":"CPT","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":140.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sigma 300vdd Pmkr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1105","description":"Sigma 300vdd Pmkr","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Promoting Wellness MIPS Value Pathways","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0005","description":"Promoting Wellness MIPS Value Pathways","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 15-16/60-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PE240","description":"Reduced Physical Function , ADL Index 15-16/60-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab plus Extensive, ADL Index 11-16/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMX44","description":"Medium Rehab plus Extensive, ADL Index 11-16/60-day AND EOT OMRA OR 60-day AND EOT OMRA AND SCSA OR 60-day AND EOT OMRA AND SCPA OR 60-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":75.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHIA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":627.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":627.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":627.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEPE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGSA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":464.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DEYD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":566.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":248.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":27.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":275.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 11-16/TRICARE 360-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVC8I","description":"Very High Rehab , ADL Index 11-16/TRICARE 360-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDIC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAKE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fibrinolysins; Semiquantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85395","description":"Fibrinolysins; Semiquantitative","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, treosulfan, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0614","description":"Injection, treosulfan, 50 mg","negotiated_rates":[{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"MariGen Pacto, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2038","description":"MariGen Pacto, per sq cm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFJD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFED0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CABF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Miscellaneous M <46.50 and A <77.50.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2005","description":"Miscellaneous M <46.50 and A <77.50.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEVE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHCA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":663.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2364.97,"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":"CPT","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":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.43,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.09,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":12.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":38.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFBE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":207.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":207.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIHC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ipratropium Bromide 0.02%, Per Ml, Inhalation Solution, Administered T","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7645","description":"Ipratropium Bromide 0.02%, Per Ml, Inhalation Solution, Administered T","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NBTA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHXB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBCC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JCHE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 0-5/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUA35","description":"Ultra High Rehab , ADL Index 0-5/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":193.25,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":193.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EAHA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CACB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLFF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDRF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2693.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGEB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.31,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1011.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ldh,Blood;isoenzymes,Chem.Separat'N","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83626","description":"Ldh,Blood;isoenzymes,Chem.Separat'N","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EAMD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBUB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Terminal Device Model #5","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6705","description":"Terminal Device Model #5","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":14.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.42,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":86.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":171.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OATC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"KV imaging w/IR tracking","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9722","description":"KV imaging w/IR tracking","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CADD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wallstentrp Bil--80/94mm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C5018","description":"Wallstentrp Bil--80/94mm","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":688.22,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1388.11,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3126.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3126.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3126.0,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":459.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0658","description":"Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full arms and chest","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HGSC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDKD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLPA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEGD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare short st","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LB213","description":"Special Care Low , ADL Index 2-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare short st","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHHC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJAE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKND1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFLE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EEEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":26.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJTF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAFF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBCF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEFC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3363.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":253.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHRE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":16.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AHTD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCQC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OELF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2435.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBIF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DDOF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AAUD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":853.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBRD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDDE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":69.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IETF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":253.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 11-14/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CD106","description":"Clinically Complex , ADL Index 11-14/SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA OR SOT OMRA (not Medi","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1728.6,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PGOD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 6-10/TRICARE 360-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LC28I","description":"Special Care Low , ADL Index 6-10/TRICARE 360-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fibrinolysis,Quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85398","description":"Fibrinolysis,Quantitative","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OCXD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGUD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PCSC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHOE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHYE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":481.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ketorolac Tromethamine Inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1885","description":"Ketorolac Tromethamine Inj","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":219.89,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7056.31,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":336.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7297.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MGUC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CESC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HARD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CESE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":25.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9734","description":"Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":43.42,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":16.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":60.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHRF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EADF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KERB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OINA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1068.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GAEF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHHC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":101.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"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":60.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"AW"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient had only urgent care visits during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1054","description":"Patient had only urgent care visits during the performance period","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICHA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Debridement, bone (incl epidermis, dermis, subcutaneous tissue, muscle and/or fascia); first 20 sq cm or less w/manual preparation and insertion of drug-delivery device, deep","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7561","description":"Debridement, bone (incl epidermis, dermis, subcutaneous tissue, muscle and/or fascia); first 20 sq cm or less w/manual preparation and insertion of drug-delivery device, deep","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFMC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBPF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KESB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dermatological care MIPS value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1421","description":"Dermatological care MIPS value pathway","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":442.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":317.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHTC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIJB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEWA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Myriad Morcells, 4 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2033","description":"Myriad Morcells, 4 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCVA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGYE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEKA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDGE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IFUB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDVD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFSD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIXE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":32.96,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":85.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":118.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAID0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFJE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PERF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABHD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFHD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFNA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIJF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJEB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab plus Extensive , ADL Index 2-10/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHL21","description":"High Rehab plus Extensive , ADL Index 2-10/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JHXE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHRA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGMD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OBIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Factor IX (antihemophilic factor, recombinant) per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7195","description":"Factor IX (antihemophilic factor, recombinant) per IU","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ouabain","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83938","description":"Ouabain","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, collagenase, clostridium histolyticum, 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0775","description":"Injection, collagenase, clostridium histolyticum, 0.01 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.63,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":9.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MKLE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.18,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":7.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BEGE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 2-5/EOT OMRA OR EOT OMRA AND SCSA OR EOT OMRA AND SCPA OR EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PB204","description":"Reduced Physical Function , ADL Index 2-5/EOT OMRA OR EOT OMRA AND SCSA OR EOT OMRA AND SCPA OR EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FAXA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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 < 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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IHLE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDMA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEDA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDTA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1758.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 0-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare short stay) AN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHA13","description":"High Rehab , ADL Index 0-5/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medicare short stay) AN","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFIA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GBKE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFJF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":174.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGVA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EABA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HAWD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":283.16,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2271.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GGVA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Momentum Dr Pmkr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C4314","description":"Momentum Dr Pmkr","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":301.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":301.73,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":342.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HIQA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IBUC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEXA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":159.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCNC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJJC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDGB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHUE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, pegulicianine, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9171","description":"Injection, pegulicianine, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCME1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, w/ureteral stricture balloon dilation includ diagnost nephrostogram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7547","description":"Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, w/ureteral stricture balloon dilation includ diagnost nephrostogram","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":28.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFMB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":14.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":14.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1452.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1452.43,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":656.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AFBB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab , ADL Index 11-16/90-day AND EOT OMRA OR 90-day AND EOT OMRA AND SCSA OR 90-day AND EOT OMRA AND SCPA OR 90-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMC54","description":"Medium Rehab , ADL Index 11-16/90-day AND EOT OMRA OR 90-day AND EOT OMRA AND SCSA OR 90-day AND EOT OMRA AND SCPA OR 90-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.75,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":89.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CCCC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4879.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":4879.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5620.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":5620.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FIJE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDEF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OIVE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":21.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":7.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDEC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Guillian Barre with Motor >35.95.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1901","description":"Guillian Barre with Motor >35.95.,comorbidity in tier 1","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":623.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEYB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, immune globulin (Cuvitru), 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1555","description":"Injection, immune globulin (Cuvitru), 100 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":46.23,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":46.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFLE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":141.2,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":141.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LEQC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODGF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICTF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJFE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reduced Physical Function , ADL Index 0-1/30-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PA230","description":"Reduced Physical Function , ADL Index 0-1/30-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, avalglucosidase alfa-ngpt, 4 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9085","description":"Injection, avalglucosidase alfa-ngpt, 4 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABDC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGPE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDVF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PLOF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIGE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIJB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIVB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":90.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKUC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHDE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHBC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":124.62,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":65.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":59.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBKD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":211.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLDA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIFE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFHD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAJA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODDB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EFCD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":889.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDCE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1882.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIYB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0490","description":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Care Low , ADL Index 11-14/Stand-alone EOT OMRA reporting ROT or EOT OMRA reporting ROT w/ unscheduled OBRA SCSA or SCPA or CCA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LD10A","description":"Special Care Low , ADL Index 11-14/Stand-alone EOT OMRA reporting ROT or EOT OMRA reporting ROT w/ unscheduled OBRA SCSA or SCPA or CCA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDNC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non-Covered Item Or Service","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9270","description":"Non-Covered Item Or Service","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEFF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CESF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BIAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":523.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":523.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NIJA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Heart Transplant/Heart & Lung Transplant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00580","description":"Anesthesia, Heart Transplant/Heart & Lung Transplant","negotiated_rates":[{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1092.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1092.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1037.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1092.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDWD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDEB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BBJA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PLSA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEKF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":240.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":240.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHNE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 11-16/14-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHC22","description":"High Rehab , ADL Index 11-16/14-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEDE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultra High Rehab , ADL Index 11-16/TRICARE 120-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RUC8A","description":"Ultra High Rehab , ADL Index 11-16/TRICARE 120-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, c-1 esterase inhibitor (human), berinert, 10 units","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0597","description":"Injection, c-1 esterase inhibitor (human), berinert, 10 units","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":113.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFUA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":436.57,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":101.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":335.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFGE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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), 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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":90.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >40.65 & Motor <44.25.,comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0204","description":"Traumatic brain injury with Motor >40.65 & Motor <44.25.,comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Traumatic spinal cord injury M >=24.50 and M <31.50 and A >=61.50.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0406","description":"Traumatic spinal cord injury M >=24.50 and M <31.50 and A >=61.50.,comorbidity in tier 1","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LAYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCXF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 6-10/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CC136","description":"Clinically Complex , ADL Index 6-10/30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 30-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hydroxyzine Hcl Injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3410","description":"Hydroxyzine Hcl Injeciton","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LHYC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1318.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJME0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NLIB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":169.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinicath 16/18 Double","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2599","description":"Clinicath 16/18 Double","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HAYC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BGJB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJMB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KBJA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Graphite crucible for preparation of Technetium Tc 99m-labeled carbon aerosol, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9506","description":"Graphite crucible for preparation of Technetium Tc 99m-labeled carbon aerosol, each","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGVE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BDLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Celsius Large Abln Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2013","description":"Celsius Large Abln Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1302.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FHNE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infusion, albumin (human), 5%, 250 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9045","description":"Infusion, albumin (human), 5%, 250 ml","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Addvent Mod 2060bl, Vdd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1143","description":"Addvent Mod 2060bl, Vdd","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FBCA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":285.82,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1029.52,"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":"HCPCS","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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":506.32,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":60.18,"expiration_date":"9999-12-31","service_code":["11","53"],"billing_class":"professional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LHWE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBPA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab plus Extensive , ADL Index 2-10/TRICARE 120-day assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHL8A","description":"High Rehab plus Extensive , ADL Index 2-10/TRICARE 120-day assessment","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PEYC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCYC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KCVF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KILC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":41.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJRA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":674.15,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":674.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEUC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IDLF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1002.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JFCE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBIC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LAYF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KDBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shoulder Flexion-Abduction J","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"L6645","description":"Shoulder Flexion-Abduction J","negotiated_rates":[{"provider_references":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":475.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGPE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Instillation, hexaminolevulinate hydrochloride, 100 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"A9589","description":"Instillation, hexaminolevulinate hydrochloride, 100 mg","negotiated_rates":[{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2139.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1426.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, sulfur hexafluoride lipid microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9950","description":"Injection, sulfur hexafluoride lipid microspheres, per ml","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application of a modality (requiring constant provider attendance) to one or","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8948","description":"Application of a modality (requiring constant provider attendance) to one or","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CERB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBGF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIRA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Closed Chest Proc; Pneumocentesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00524","description":"Anesthesia, Closed Chest Proc; Pneumocentesis","negotiated_rates":[{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[2],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":247.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NJAC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4071.46,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":4071.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEHB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DISF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAEF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 0-5/90-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVA50","description":"Very High Rehab , ADL Index 0-5/90-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2266.88,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":414.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":137.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":137.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3314.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CIDD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1938.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FDLB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":162.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KFIF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FEID1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":44.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":44.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":33.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":33.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OHNA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKHC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGEA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGKC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JAED1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEIF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Disposable contact lens, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0500","description":"Disposable contact lens, per lens","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GFOD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GIWC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJRB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDID0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEPB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":496.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HASE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"injection, tbo-filgrastim, 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1447","description":"injection, tbo-filgrastim, 1 microgram","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.13,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":12.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JEAA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":44.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":44.22,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":33.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":10.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":33.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKLF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NKMF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CALA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":186.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFCF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEJC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKSC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ABCE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2094.82,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":4.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1036.36,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":98.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":790.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":745.94,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NCVC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":282.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HDRC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AFDA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":257.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHHA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":741.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":741.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[2],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1938.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[10],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1938.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[4],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1938.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1938.01,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, factor IX (antihemophilic factor, recombinant), glycopegylated, Rebinyn, 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9468","description":"Injection, factor IX (antihemophilic factor, recombinant), glycopegylated, Rebinyn, 1 IU","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FGCA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NAIB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1354.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1354.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1354.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHAD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BFDF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Leadless electrode, transmitter, battery (all implantable), for sequential left ventricular pacing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1740","description":"Leadless electrode, transmitter, battery (all implantable), for sequential left ventricular pacing","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BEKA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 11-14/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CD226","description":"Clinically Complex , ADL Index 11-14/14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCSA OR 14-day AND SOT OMRA (not Medicare short stay) AND EOT OMRA AND SCPA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"IEEA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 15-16/14-day AND SOT OMRA (not Medicare short stay) and EOT OMRA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CE225","description":"Clinically Complex , ADL Index 15-16/14-day AND SOT OMRA (not Medicare short stay) and EOT OMRA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CFAA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGPA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Functional status was measured by the Oxford Knee Score (OKS) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1047","description":"Functional status was measured by the Oxford Knee Score (OKS) patient reported outcome tool within three months preoperatively and at one year (9 to 15 months) postoperatively","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MJMD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc,","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4723","description":"Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc,","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1048.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1048.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":317.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":317.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DCYF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NDGC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PCQB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression wrap with adjustable straps, arm, each, custom","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6518","description":"Gradient compression wrap with adjustable straps, arm, each, custom","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":502.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9755","description":"Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OEAE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hyaluronan/deriv durolane for  intra-art inj, 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7318","description":"Hyaluronan/deriv durolane for  intra-art inj, 1mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":369.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHJE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NEAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":880.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JGGD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Morcellator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1073","description":"Morcellator","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIKD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CENA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PHRB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BHGB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3088.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ODWC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCEB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Proc On Arteries, Forearm, Wrist, & Hand; Nos","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01840","description":"Anesthesia, Proc On Arteries, Forearm, Wrist, & Hand; Nos","negotiated_rates":[{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":364.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JIBD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High Rehab , ADL Index 6-10/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RHB01","description":"High Rehab , ADL Index 6-10/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":21.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIDA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KGPB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":9.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay).","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVC52","description":"Very High Rehab , ADL Index 11-16/90-day AND SOT OMRA (not Medicare short stay).","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":979.67,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":832.54,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":147.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":560.39,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":992.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEJF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":231.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/90-day AND EOT OMRA OR 90-day AND EOT OMRA AND SCSA OR 90-day AND EOT OMRA AND SCPA OR 90-day AND EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES354","description":"Extensive Services , ADL Index 2-16/90-day AND EOT OMRA OR 90-day AND EOT OMRA AND SCSA OR 90-day AND EOT OMRA AND SCPA OR 90-day AND EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":36.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, pegcetacoplan, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9151","description":"Injection, pegcetacoplan, 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CDPA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.25,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":57.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medium Rehab plus Extensive, ADL Index 11-16/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RMX13","description":"Medium Rehab plus Extensive, ADL Index 11-16/5-day or readmission return AND SOT OMRA (not Medicare short stay) AND SCSA OR 5-day or readmission return AND SOT OMRA (not Medic","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"BCCF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab plus Extensive , ADL Index 2-16/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLX21","description":"Low Rehab plus Extensive , ADL Index 2-16/14-day AND SCSA OR 14-day AND SCPA OR 14-day AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Droperidol Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1790","description":"Droperidol Injection","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJOB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1359.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJLB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Co 57/58 0.5 Mci","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1079","description":"Co 57/58 0.5 Mci","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2962.34,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":2962.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"AFBC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OLHD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KAKE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EETD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":197.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":197.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"HAYD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Very High Rehab , ADL Index 0-5/Stand-alone COT OMRA whether or not combined w/ unscheduled OBRA SCSA or SCPA or CCA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RVA0D","description":"Very High Rehab , ADL Index 0-5/Stand-alone COT OMRA whether or not combined w/ unscheduled OBRA SCSA or SCPA or CCA","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MBLD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"LBOF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Celsius Ii Asym Abln Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2014","description":"Celsius Ii Asym Abln Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OKRF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OJYA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NFXD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGAC1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensive Services , ADL Index 2-16/EOT OMRA OR EOT OMRA AND SCSA OR EOT OMRA AND SCPA OR EOT OMRA AND CCA.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ES104","description":"Extensive Services , ADL Index 2-16/EOT OMRA OR EOT OMRA AND SCSA OR EOT OMRA AND SCPA OR EOT OMRA AND CCA.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EDBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":301.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GELF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CAEC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CEMF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Neurological with Motor >37.35 & Motor <47.75.,comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0602","description":"Neurological with Motor >37.35 & Motor <47.75.,comorbidity in tier 1","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[3],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1600.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHWB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":116.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MLUE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MEAF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KEDE0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":145.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FFVE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KHKE1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"NGBB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KIYD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Low Rehab, ADL Index 0-10/14-day.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"RLA20","description":"Low Rehab, ADL Index 0-10/14-day.","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"FCHF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anesthesia, Non-Invasive Imaging/Radiation Therapy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01922","description":"Anesthesia, Non-Invasive Imaging/Radiation Therapy","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":416.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GEOA0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"KETB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75.,comorbidity in tier 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75.,comorbidity in tier 3","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Irvine 5f Inquiry Ep Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2002","description":"Irvine 5f Inquiry Ep Cath","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"MDAF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CHUB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":12.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":87.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":87.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":92.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":87.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"MS"},{"negotiated_type":"fee schedule","negotiated_rate":92.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1803.49,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":646.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, buprenorphine extended-release (Brixadi), 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0576","description":"Injection, buprenorphine extended-release (Brixadi), 1 mg","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":300.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":300.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GDYA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1587.1,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":551.14,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":972.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"ICHC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OFXD1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc, but less than or equal to 2999 cc,","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4722","description":"Dialysate solution, any concentration of dextrose, fluid volume greater than 1999 cc, but less than or equal to 2999 cc,","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cordis Guidewires","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C3553","description":"Cordis Guidewires","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"DBRF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"GHAB0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bitolterol Mes Inh Sol U D","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7629","description":"Bitolterol Mes Inh Sol U D","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EIAB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Miscellaneous with Motor>38.75 and Motor<49.15, comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C2002","description":"Miscellaneous with Motor>38.75 and Motor<49.15, comorbidity in tier 2","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EBDC0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Methacholine chloride, neb","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7674","description":"Methacholine chloride, neb","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":223.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"PDWA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OGGD0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, remdesivir, 1 mg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"J0248","description":"Injection, remdesivir, 1 mg","negotiated_rates":[{"provider_references":[8],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]},{"provider_references":[6],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"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":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"JBPF0","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OAYA1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"EETB1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chkmate Intra Brachytx Sys","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9702","description":"Chkmate Intra Brachytx Sys","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":581.87,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":581.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]},{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"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":[7],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":974.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CGEF1","description":"See \"Definition and Uses\" document for crosswalk of code values to payment groups under SNF PDPM","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transducer Protector/Fluid B","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1575","description":"Transducer Protector/Fluid B","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically Complex , ADL Index 2-5/5-day or readmission return AND Medicare short stay assessment AND SCSA OR 5-day or readmission return AND Medicare short stay assessment AN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"CB117","description":"Clinically Complex , ADL Index 2-5/5-day or readmission return AND Medicare short stay assessment AND SCSA OR 5-day or readmission return AND Medicare short stay assessment AN","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9058","description":"Red blood cells, leukocytes reduced, cmv-negative, irradiated, each unit","negotiated_rates":[{"provider_references":[5],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":95.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]}],"provider_references":[{"provider_group_id":5,"provider_groups":[{"npi":[1063500296],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1023095825],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1598032138],"tin":{"type":"ein","value":"810286525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811984420],"tin":{"type":"ein","value":"816001358"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1588688782],"tin":{"type":"ein","value":"450471748"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093095341],"tin":{"type":"ein","value":"810360391"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811257918],"tin":{"type":"ein","value":"454985415"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1336814672],"tin":{"type":"ein","value":"822465485"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952312050],"tin":{"type":"ein","value":"810241755"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1215958921],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1629119086],"tin":{"type":"ein","value":"204333803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1235454273],"tin":{"type":"ein","value":"271239293"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801862412],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407824071],"tin":{"type":"ein","value":"930309970"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164835351],"tin":{"type":"ein","value":"332136631"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1346353521],"tin":{"type":"ein","value":"810481082"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1255311106],"tin":{"type":"ein","value":"261100319"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275528382],"tin":{"type":"ein","value":"930508781"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1730283979],"tin":{"type":"ein","value":"810233121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1851406888],"tin":{"type":"ein","value":"820527089"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1124152921],"tin":{"type":"ein","value":"820465077"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1760192025],"tin":{"type":"ein","value":"822458102"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1588768204],"tin":{"type":"ein","value":"810233121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1023438538],"tin":{"type":"ein","value":"222862167"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801486360],"tin":{"type":"ein","value":"810513538"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1457759300],"tin":{"type":"ein","value":"841424652"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1821828849],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1366163594],"tin":{"type":"ein","value":"272064429"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1992999775],"tin":{"type":"ein","value":"203303351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1619364239],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1518651322],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1699810614],"tin":{"type":"ein","value":"541020801"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1740214063],"tin":{"type":"ein","value":"592852900"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1477720399],"tin":{"type":"ein","value":"263299059"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1669891032],"tin":{"type":"ein","value":"465369942"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801848809],"tin":{"type":"ein","value":"810303913"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649723990],"tin":{"type":"ein","value":"814880949"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1316930050],"tin":{"type":"ein","value":"810469886"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1376880518],"tin":{"type":"ein","value":"461394330"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1679887756],"tin":{"type":"ein","value":"820482491"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1871901108],"tin":{"type":"ein","value":"264636862"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144077413],"tin":{"type":"ein","value":"823255983"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144019399],"tin":{"type":"ein","value":"464197680"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1013362862],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1760452049],"tin":{"type":"ein","value":"810467602"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1356182240],"tin":{"type":"ein","value":"271361149"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1760549349],"tin":{"type":"ein","value":"810537836"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1659666923],"tin":{"type":"ein","value":"810339527"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700319381],"tin":{"type":"ein","value":"821113614"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1215982913],"tin":{"type":"ein","value":"222862167"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1821096082],"tin":{"type":"ein","value":"826000431"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1134286289],"tin":{"type":"ein","value":"208020226"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750824546],"tin":{"type":"ein","value":"814402637"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083945695],"tin":{"type":"ein","value":"911394965"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265548184],"tin":{"type":"ein","value":"810456714"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1043379274],"tin":{"type":"ein","value":"810391531"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750614046],"tin":{"type":"ein","value":"273252563"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710280144],"tin":{"type":"ein","value":"863190906"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1306603618],"tin":{"type":"ein","value":"270288886"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1922388255],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1154157386],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1295998771],"tin":{"type":"ein","value":"841396628"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1528620515],"tin":{"type":"ein","value":"810509072"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1629465166],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1033639091],"tin":{"type":"ein","value":"680511559"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1235363573],"tin":{"type":"ein","value":"810398400"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952415051],"tin":{"type":"ein","value":"205267490"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1477720399],"tin":{"type":"ein","value":"263299059"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1679514509],"tin":{"type":"ein","value":"223065319"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245503911],"tin":{"type":"ein","value":"451799013"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1134999527],"tin":{"type":"ein","value":"333724666"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1679626006],"tin":{"type":"ein","value":"611903931"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952464448],"tin":{"type":"ein","value":"473824855"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1063722866],"tin":{"type":"ein","value":"520136561"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1740275130],"tin":{"type":"ein","value":"621766695"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1790053338],"tin":{"type":"ein","value":"862839778"}}],"network_name":["Navigator - ID PCP Type","St Luke Navigator (PCP)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1770586794],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750036174],"tin":{"type":"ein","value":"861271667"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275111726],"tin":{"type":"ein","value":"473166973"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1336125533],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1578655429],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437136223],"tin":{"type":"ein","value":"816016920"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1922095934],"tin":{"type":"ein","value":"930752805"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164835351],"tin":{"type":"ein","value":"332136631"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750846986],"tin":{"type":"ein","value":"471502011"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1740923465],"tin":{"type":"ein","value":"844068603"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083770192],"tin":{"type":"ein","value":"474006939"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811951569],"tin":{"type":"ein","value":"930899337"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083703185],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1376941914],"tin":{"type":"ein","value":"820301061"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1366424186],"tin":{"type":"ein","value":"900577919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1043569437],"tin":{"type":"ein","value":"922826391"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437357126],"tin":{"type":"ein","value":"201919447"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750330262],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1629275037],"tin":{"type":"ein","value":"463252946"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1033375092],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1659541449],"tin":{"type":"ein","value":"831851140"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1366931412],"tin":{"type":"ein","value":"882242068"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1790823375],"tin":{"type":"ein","value":"710942678"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1891162541],"tin":{"type":"ein","value":"461718527"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689211013],"tin":{"type":"ein","value":"830492899"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1841880606],"tin":{"type":"ein","value":"873607274"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1346771383],"tin":{"type":"ein","value":"813897380"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1255702254],"tin":{"type":"ein","value":"331065485"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093451841],"tin":{"type":"ein","value":"882137025"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1932808078],"tin":{"type":"ein","value":"922496814"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1063500296,1083703185],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type","Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1821075565],"tin":{"type":"ein","value":"201054971"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1366504532],"tin":{"type":"ein","value":"202333409"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1942303011],"tin":{"type":"ein","value":"264520640"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1043723414],"tin":{"type":"ein","value":"562403209"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093717340],"tin":{"type":"ein","value":"930771833"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1124029962],"tin":{"type":"ein","value":"810456691"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437728037],"tin":{"type":"ein","value":"873714859"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1659852218],"tin":{"type":"ein","value":"461843598"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700495496],"tin":{"type":"ein","value":"851925698"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1336125533],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1629224449],"tin":{"type":"ein","value":"260835445"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639182116],"tin":{"type":"ein","value":"275017250"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245658210],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1033765862],"tin":{"type":"ein","value":"061642283"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1053737221],"tin":{"type":"ein","value":"815344707"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396394292],"tin":{"type":"ein","value":"820514422"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1932519089],"tin":{"type":"ein","value":"810331313"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1114481447],"tin":{"type":"ein","value":"822576167"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1780685636],"tin":{"type":"ein","value":"204974140"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1255982252],"tin":{"type":"ein","value":"451802753"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1659615920],"tin":{"type":"ein","value":"463780956"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437143161],"tin":{"type":"ein","value":"272064429"}}],"network_name":["St Luke Navigator (PCP)","St Luke (BrightPath)- PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639664386],"tin":{"type":"ein","value":"272089223"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1043545106],"tin":{"type":"ein","value":"270661299"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801031851],"tin":{"type":"ein","value":"362193608"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093481541],"tin":{"type":"ein","value":"475189197"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1457396442],"tin":{"type":"ein","value":"823311245"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1912945544],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750862827],"tin":{"type":"ein","value":"844582670"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1497781512],"tin":{"type":"ein","value":"263576221"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1548366644],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1740515261],"tin":{"type":"ein","value":"270222729"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1457826125],"tin":{"type":"ein","value":"830651822"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649299033],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639969637],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1346224391],"tin":{"type":"ein","value":"816016920"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083844401],"tin":{"type":"ein","value":"263634042"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952645285],"tin":{"type":"ein","value":"208930123"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type","Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1972678316],"tin":{"type":"ein","value":"942854057"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164469276],"tin":{"type":"ein","value":"932375096"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144239138],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1972264679],"tin":{"type":"ein","value":"270175385"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1912937137],"tin":{"type":"ein","value":"205337190"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1588802466],"tin":{"type":"ein","value":"205914560"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1225082209],"tin":{"type":"ein","value":"820436622"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1629399118],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689496218],"tin":{"type":"ein","value":"271527908"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1477929776],"tin":{"type":"ein","value":"474580239"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1033870407],"tin":{"type":"ein","value":"813432550"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1285932186],"tin":{"type":"ein","value":"271242692"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1730265208],"tin":{"type":"ein","value":"810240726"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1316217342],"tin":{"type":"ein","value":"455303800"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1629056148],"tin":{"type":"ein","value":"823479171"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1194364091],"tin":{"type":"ein","value":"850589915"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1134371503],"tin":{"type":"ein","value":"922486775"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1225643554],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1669486221],"tin":{"type":"ein","value":"462986288"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083703185,1659542223],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1619430964],"tin":{"type":"ein","value":"820251526"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1427059070],"tin":{"type":"ein","value":"810231787"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003813015],"tin":{"type":"ein","value":"460483710"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1154448595],"tin":{"type":"ein","value":"455475483"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1427084060],"tin":{"type":"ein","value":"810421823"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1154704377],"tin":{"type":"ein","value":"810467371"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386205003],"tin":{"type":"ein","value":"833935694"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1457717159],"tin":{"type":"ein","value":"020601730"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407000466],"tin":{"type":"ein","value":"823033369"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1316925928],"tin":{"type":"ein","value":"810666871"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1720635253],"tin":{"type":"ein","value":"850902459"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1053628214],"tin":{"type":"ein","value":"454914843"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1417443409,1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1972249514],"tin":{"type":"ein","value":"810233746"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1730132820],"tin":{"type":"ein","value":"911011434"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1679700280],"tin":{"type":"ein","value":"931091543"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1679939318],"tin":{"type":"ein","value":"475641623"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1881588481],"tin":{"type":"ein","value":"853739093"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1992798169],"tin":{"type":"ein","value":"464197680"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1922073907],"tin":{"type":"ein","value":"810385629"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952305286],"tin":{"type":"ein","value":"721583357"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407358450],"tin":{"type":"ein","value":"832417259"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700124021],"tin":{"type":"ein","value":"201508867"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1578655429,1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1235221268,1275203192],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1023271459],"tin":{"type":"ein","value":"205575145"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1336608017],"tin":{"type":"ein","value":"931479768"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1619038601],"tin":{"type":"ein","value":"810347382"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407898026],"tin":{"type":"ein","value":"930796322"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700833472],"tin":{"type":"ein","value":"753006992"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1891955332],"tin":{"type":"ein","value":"930611783"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275088767],"tin":{"type":"ein","value":"474645123"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265116339],"tin":{"type":"ein","value":"680511559"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1881697118],"tin":{"type":"ein","value":"820426249"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952429755],"tin":{"type":"ein","value":"462047089"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1023435591],"tin":{"type":"ein","value":"833120668"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750614046],"tin":{"type":"ein","value":"273252563"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1932533049],"tin":{"type":"ein","value":"474288759"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750678298],"tin":{"type":"ein","value":"452685803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1760805030],"tin":{"type":"ein","value":"832567312"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1891859641],"tin":{"type":"ein","value":"810243720"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407116338],"tin":{"type":"ein","value":"810522488"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1033199922],"tin":{"type":"ein","value":"820361262"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1023095825,1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1073716205],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"621762552"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1487197125],"tin":{"type":"ein","value":"823255983"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1285706481],"tin":{"type":"ein","value":"260531635"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700170818],"tin":{"type":"ein","value":"833017792"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1427142231],"tin":{"type":"ein","value":"810439198"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1043437304],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1770185068],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801931977],"tin":{"type":"ein","value":"361684106"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1073081881],"tin":{"type":"ein","value":"832042432"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1215018197],"tin":{"type":"ein","value":"930593249"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1932752193],"tin":{"type":"ein","value":"843637533"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1104547470],"tin":{"type":"ein","value":"263208398"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1568542306],"tin":{"type":"ein","value":"831851140"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1134476310],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1972973477],"tin":{"type":"ein","value":"816016152"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1790823375],"tin":{"type":"ein","value":"710942678"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1730655820],"tin":{"type":"ein","value":"931280206"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1194857789],"tin":{"type":"ein","value":"220449618"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1043437304],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1477593648],"tin":{"type":"ein","value":"465062444"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1902382302],"tin":{"type":"ein","value":"870840712"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649360777],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator LEHP - OR PCP Type (Exclude OHSU)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator LEHP - OR PCP Type (Exclude OHSU)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750119087],"tin":{"type":"ein","value":"463314296"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1356089973],"tin":{"type":"ein","value":"880538990"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265497846],"tin":{"type":"ein","value":"820300537"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811258379],"tin":{"type":"ein","value":"450439149"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205849965],"tin":{"type":"ein","value":"203033510"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750830725],"tin":{"type":"ein","value":"464872349"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1851518344],"tin":{"type":"ein","value":"474395496"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1861496804],"tin":{"type":"ein","value":"271021561"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1982924593],"tin":{"type":"ein","value":"463805150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386611747],"tin":{"type":"ein","value":"816001410"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1528084399],"tin":{"type":"ein","value":"810475352"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1609880368],"tin":{"type":"ein","value":"800502750"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1932389814],"tin":{"type":"ein","value":"611684584"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1215926985],"tin":{"type":"ein","value":"462487680"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1497781512],"tin":{"type":"ein","value":"263576221"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1730220351],"tin":{"type":"ein","value":"810362748"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952698201],"tin":{"type":"ein","value":"274412620"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205018595],"tin":{"type":"ein","value":"810306157"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1740362797],"tin":{"type":"ein","value":"510510308"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1073897468],"tin":{"type":"ein","value":"474350731"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1669720397],"tin":{"type":"ein","value":"455254219"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205080181],"tin":{"type":"ein","value":"300474327"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1366024242],"tin":{"type":"ein","value":"621766695"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1346383957],"tin":{"type":"ein","value":"820368134"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689349219],"tin":{"type":"ein","value":"861747710"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1972655264],"tin":{"type":"ein","value":"522387375"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245549245],"tin":{"type":"ein","value":"911518728"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093726796],"tin":{"type":"ein","value":"810493712"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1679696157],"tin":{"type":"ein","value":"770590285"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1679351993],"tin":{"type":"ein","value":"830819201"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1013534536],"tin":{"type":"ein","value":"851544550"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1992897490],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1598112716],"tin":{"type":"ein","value":"711008379"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710319058],"tin":{"type":"ein","value":"472706830"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275150583],"tin":{"type":"ein","value":"612020976"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1588658074],"tin":{"type":"ein","value":"912109096"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1902990005],"tin":{"type":"ein","value":"810421823"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639358427],"tin":{"type":"ein","value":"880971881"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1154157386],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1770805673],"tin":{"type":"ein","value":"870695702"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1912481136],"tin":{"type":"ein","value":"814532102"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1538421094],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1427557263],"tin":{"type":"ein","value":"263095354"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1528193042],"tin":{"type":"ein","value":"205325228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396072369],"tin":{"type":"ein","value":"831059716"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1134999527],"tin":{"type":"ein","value":"333724666"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1740289024],"tin":{"type":"ein","value":"820523354"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1467704775],"tin":{"type":"ein","value":"841738403"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1285399410],"tin":{"type":"ein","value":"862826028"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750824546],"tin":{"type":"ein","value":"814402637"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1992713234],"tin":{"type":"ein","value":"930281321"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1548616444],"tin":{"type":"ein","value":"883424025"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1588041388],"tin":{"type":"ein","value":"462796848"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407282320],"tin":{"type":"ein","value":"842401202"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1841776895],"tin":{"type":"ein","value":"611916051"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750423679],"tin":{"type":"ein","value":"810368698"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1528655800],"tin":{"type":"ein","value":"830787968"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1295037042],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1356374557],"tin":{"type":"ein","value":"810544884"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1326427147],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1609826270],"tin":{"type":"ein","value":"826000428"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1821609132],"tin":{"type":"ein","value":"842612281"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1578867016],"tin":{"type":"ein","value":"832641646"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275753279],"tin":{"type":"ein","value":"264414206"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1417252990],"tin":{"type":"ein","value":"872779175"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1730129305],"tin":{"type":"ein","value":"810291695"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700181138],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1962491464],"tin":{"type":"ein","value":"208084188"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811962103],"tin":{"type":"ein","value":"203802500"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1154157386],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831236991],"tin":{"type":"ein","value":"320298568"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1568409191],"tin":{"type":"ein","value":"816016016"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1871651281],"tin":{"type":"ein","value":"346462298"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1720775075],"tin":{"type":"ein","value":"462259078"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"383816505"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689239618],"tin":{"type":"ein","value":"201008626"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649528886],"tin":{"type":"ein","value":"823219731"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1346909918],"tin":{"type":"ein","value":"830787968"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1730220351],"tin":{"type":"ein","value":"810362748"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1659690535],"tin":{"type":"ein","value":"272506639"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407967557],"tin":{"type":"ein","value":"930804475"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1972655264],"tin":{"type":"ein","value":"522387375"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1891713533],"tin":{"type":"ein","value":"810384618"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1730283979],"tin":{"type":"ein","value":"810233121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1659371870],"tin":{"type":"ein","value":"820200895"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1841292307],"tin":{"type":"ein","value":"820226453"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1114957008],"tin":{"type":"ein","value":"820429100"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1255311106],"tin":{"type":"ein","value":"261100319"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1922093293],"tin":{"type":"ein","value":"352210163"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1760540579],"tin":{"type":"ein","value":"753197779"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437691516],"tin":{"type":"ein","value":"263095354"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1538462957],"tin":{"type":"ein","value":"900380178"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1598874232],"tin":{"type":"ein","value":"810373589"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1821420571],"tin":{"type":"ein","value":"462617367"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831564665],"tin":{"type":"ein","value":"472240524"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1740551985],"tin":{"type":"ein","value":"421403200"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1346470770],"tin":{"type":"ein","value":"810515500"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1790896470],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1457591166],"tin":{"type":"ein","value":"270333874"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649299033],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1447245857],"tin":{"type":"ein","value":"810398400"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1972942142],"tin":{"type":"ein","value":"473166973"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710396569],"tin":{"type":"ein","value":"463107058"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1518273465],"tin":{"type":"ein","value":"273765851"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1538345699],"tin":{"type":"ein","value":"275284958"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1114197951],"tin":{"type":"ein","value":"472072579"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1891732905],"tin":{"type":"ein","value":"363525049"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396074548],"tin":{"type":"ein","value":"810231792"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205372604,1639568496],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1184788309],"tin":{"type":"ein","value":"810540504"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093481541],"tin":{"type":"ein","value":"475189197"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1154563963],"tin":{"type":"ein","value":"820207116"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689755670],"tin":{"type":"ein","value":"930386912"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689349987],"tin":{"type":"ein","value":"871981299"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1669720397],"tin":{"type":"ein","value":"455254219"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275203192,1649360777],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1679664122],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1730185141],"tin":{"type":"ein","value":"462889805"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275131468],"tin":{"type":"ein","value":"463068729"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1588181275],"tin":{"type":"ein","value":"822393658"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164587754],"tin":{"type":"ein","value":"502780707"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407967557],"tin":{"type":"ein","value":"930804475"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386611747],"tin":{"type":"ein","value":"816001410"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1679797666],"tin":{"type":"ein","value":"731657690"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1154569382],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1053606236],"tin":{"type":"ein","value":"820516012"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811575079],"tin":{"type":"ein","value":"843244265"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750544243],"tin":{"type":"ein","value":"473238987"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"930386868"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1962849307],"tin":{"type":"ein","value":"462810421"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1356881866],"tin":{"type":"ein","value":"611786393"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1669574406],"tin":{"type":"ein","value":"810399939"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1013418763],"tin":{"type":"ein","value":"833935694"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1285680769],"tin":{"type":"ein","value":"911394965"}}],"network_name":["St Luke Navigator (Specialist)","Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801533690],"tin":{"type":"ein","value":"860736917"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1053852327],"tin":{"type":"ein","value":"475098022"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1548320435],"tin":{"type":"ein","value":"826004163"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1154569382],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396802070],"tin":{"type":"ein","value":"205799734"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1013534536],"tin":{"type":"ein","value":"851544550"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649628553],"tin":{"type":"ein","value":"823448953"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407811789],"tin":{"type":"ein","value":"930241595"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1598002826],"tin":{"type":"ein","value":"474553689"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144221128],"tin":{"type":"ein","value":"752752908"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1881680577],"tin":{"type":"ein","value":"810475696"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1235646787],"tin":{"type":"ein","value":"810262019"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275549875],"tin":{"type":"ein","value":"473463109"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1720317704],"tin":{"type":"ein","value":"271502578"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952320350],"tin":{"type":"ein","value":"810306157"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689876781],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083703185],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1043243538],"tin":{"type":"ein","value":"061356148"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649360777],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1679664122],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1366751638],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144245085],"tin":{"type":"ein","value":"201386476"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1417931817],"tin":{"type":"ein","value":"204112169"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1629119086],"tin":{"type":"ein","value":"204333803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205902525],"tin":{"type":"ein","value":"203694369"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1215012448],"tin":{"type":"ein","value":"208397013"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1346508447],"tin":{"type":"ein","value":"030411339"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245271477],"tin":{"type":"ein","value":"200750906"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265999338],"tin":{"type":"ein","value":"823663428"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265831465],"tin":{"type":"ein","value":"824363900"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1255365904],"tin":{"type":"ein","value":"930836166"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1194364273],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083269260],"tin":{"type":"ein","value":"473166973"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1073062352],"tin":{"type":"ein","value":"844437722"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144221128],"tin":{"type":"ein","value":"752752908"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1730247131],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1174564769],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1487020913],"tin":{"type":"ein","value":"464292729"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164412755],"tin":{"type":"ein","value":"261219605"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1861441867],"tin":{"type":"ein","value":"820465077"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1730401217],"tin":{"type":"ein","value":"271976968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1326314964],"tin":{"type":"ein","value":"870696803"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1790940773],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1679696157],"tin":{"type":"ein","value":"770590285"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1730263328],"tin":{"type":"ein","value":"432049549"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396032447],"tin":{"type":"ein","value":"383816505"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801893557],"tin":{"type":"ein","value":"208084188"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144513797],"tin":{"type":"ein","value":"464727800"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1467620609],"tin":{"type":"ein","value":"752752908"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1861925778],"tin":{"type":"ein","value":"621766695"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1932651775],"tin":{"type":"ein","value":"881616376"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1669798930],"tin":{"type":"ein","value":"272358620"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710544531],"tin":{"type":"ein","value":"271402749"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811954662],"tin":{"type":"ein","value":"411577266"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1235347428],"tin":{"type":"ein","value":"852655001"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1326042078],"tin":{"type":"ein","value":"264230898"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265999338],"tin":{"type":"ein","value":"823663428"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1861500035],"tin":{"type":"ein","value":"820446265"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831241967],"tin":{"type":"ein","value":"082388417"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801848809],"tin":{"type":"ein","value":"810303913"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1891732905],"tin":{"type":"ein","value":"363525049"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407537145],"tin":{"type":"ein","value":"832417259"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1033547484],"tin":{"type":"ein","value":"300624119"}}],"network_name":["Voyager - OR PCP type","Voyager - WA PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1669891032],"tin":{"type":"ein","value":"465369942"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164054474],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1295476562],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1699953968],"tin":{"type":"ein","value":"043824972"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083719793],"tin":{"type":"ein","value":"200041748"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1508986621],"tin":{"type":"ein","value":"830346584"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831290360],"tin":{"type":"ein","value":"812015588"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1942411848],"tin":{"type":"ein","value":"832587632"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1104530492],"tin":{"type":"ein","value":"883929985"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1487129557],"tin":{"type":"ein","value":"883212804"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1851466643],"tin":{"type":"ein","value":"931319142"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1134218118],"tin":{"type":"ein","value":"611606811"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1477593648],"tin":{"type":"ein","value":"465062444"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1821083452],"tin":{"type":"ein","value":"810449515"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1659542223],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386721637],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1659450740],"tin":{"type":"ein","value":"611423592"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1740916774],"tin":{"type":"ein","value":"810513690"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1497913008],"tin":{"type":"ein","value":"300336703"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1740551985],"tin":{"type":"ein","value":"421403200"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1871898254],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1104064856],"tin":{"type":"ein","value":"810478374"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1477995637],"tin":{"type":"ein","value":"362193608"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003196718],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1609223932],"tin":{"type":"ein","value":"208202094"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083773337],"tin":{"type":"ein","value":"261286546"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750787073],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1316932940],"tin":{"type":"ein","value":"810449515"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1528040904],"tin":{"type":"ein","value":"830584927"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1508251158],"tin":{"type":"ein","value":"461062769"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1134218118],"tin":{"type":"ein","value":"611606811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1508070970],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1891001897],"tin":{"type":"ein","value":"810542541"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1922381565],"tin":{"type":"ein","value":"834018063"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831265578],"tin":{"type":"ein","value":"931006583"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1073967766],"tin":{"type":"ein","value":"812073193"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1063525988],"tin":{"type":"ein","value":"810519587"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1588031686],"tin":{"type":"ein","value":"461009805"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1417330499],"tin":{"type":"ein","value":"813557438"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1790167831],"tin":{"type":"ein","value":"936002339"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831236991],"tin":{"type":"ein","value":"320298568"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952479537],"tin":{"type":"ein","value":"810224734"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831658301],"tin":{"type":"ein","value":"831677480"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1982602470],"tin":{"type":"ein","value":"820226453"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1326042078],"tin":{"type":"ein","value":"264230898"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1578595153],"tin":{"type":"ein","value":"870302621"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1932389814],"tin":{"type":"ein","value":"611684584"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1114373644],"tin":{"type":"ein","value":"810644697"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1235221268],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1578655429],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083703185,1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1447672134],"tin":{"type":"ein","value":"141910165"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1457444119],"tin":{"type":"ein","value":"262674683"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1104890011],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1720871668],"tin":{"type":"ein","value":"043824972"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1821100637],"tin":{"type":"ein","value":"912069412"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1225879935],"tin":{"type":"ein","value":"820750498"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1922073907],"tin":{"type":"ein","value":"810385629"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1659690535],"tin":{"type":"ein","value":"272506639"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1376013987],"tin":{"type":"ein","value":"995039340"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1215333406],"tin":{"type":"ein","value":"843211319"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801883319],"tin":{"type":"ein","value":"820328732"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1861835456],"tin":{"type":"ein","value":"455549944"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1063409092],"tin":{"type":"ein","value":"731631366"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437546082],"tin":{"type":"ein","value":"471338694"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"532025767"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1942248976],"tin":{"type":"ein","value":"475387665"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164815122],"tin":{"type":"ein","value":"831354508"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407843659],"tin":{"type":"ein","value":"742152396"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1104811207],"tin":{"type":"ein","value":"911784789"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1548586936],"tin":{"type":"ein","value":"931146901"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831658301],"tin":{"type":"ein","value":"831677480"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1790940773],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1821245671],"tin":{"type":"ein","value":"465125403"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275531865],"tin":{"type":"ein","value":"431178031"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1285706481],"tin":{"type":"ein","value":"260531635"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1497754782],"tin":{"type":"ein","value":"810515463"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1326331182],"tin":{"type":"ein","value":"870629690"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952645285],"tin":{"type":"ein","value":"208930123"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1457444119],"tin":{"type":"ein","value":"262674683"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639514094],"tin":{"type":"ein","value":"462349174"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1326627787],"tin":{"type":"ein","value":"262343447"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1699746305],"tin":{"type":"ein","value":"930281321"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1902990005],"tin":{"type":"ein","value":"810421823"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750362869],"tin":{"type":"ein","value":"680568557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710402516],"tin":{"type":"ein","value":"264524039"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1114934023],"tin":{"type":"ein","value":"810232122"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1669913844],"tin":{"type":"ein","value":"841809420"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1528738028],"tin":{"type":"ein","value":"270175385"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1699812966],"tin":{"type":"ein","value":"931235600"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1699906305],"tin":{"type":"ein","value":"474610817"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1285622589],"tin":{"type":"ein","value":"470858718"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1134232515],"tin":{"type":"ein","value":"843406462"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1316022247],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1255154423],"tin":{"type":"ein","value":"995016787"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003969288],"tin":{"type":"ein","value":"820503498"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1215385299],"tin":{"type":"ein","value":"475129530"}}],"network_name":["Oregon SmartHealth Tier 1 Network, PCP Provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1548355811],"tin":{"type":"ein","value":"826003449"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437620358],"tin":{"type":"ein","value":"931215381"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003843343],"tin":{"type":"ein","value":"823920656"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144529306],"tin":{"type":"ein","value":"205058015"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407065956],"tin":{"type":"ein","value":"208049182"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1376605162],"tin":{"type":"ein","value":"119380418"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437546082],"tin":{"type":"ein","value":"471338694"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1528611530],"tin":{"type":"ein","value":"272237519"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1558415422],"tin":{"type":"ein","value":"264520640"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1477949766],"tin":{"type":"ein","value":"472920584"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1225494602],"tin":{"type":"ein","value":"810949239"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831688928],"tin":{"type":"ein","value":"874650553"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1992909766],"tin":{"type":"ein","value":"813268356"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1134166820],"tin":{"type":"ein","value":"562570686"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003939190],"tin":{"type":"ein","value":"475437700"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1114969912],"tin":{"type":"ein","value":"930583150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407337082],"tin":{"type":"ein","value":"203573051"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386964146],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1881787547],"tin":{"type":"ein","value":"911802758"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1790823375],"tin":{"type":"ein","value":"710942678"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1962464222],"tin":{"type":"ein","value":"262232572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1255361168],"tin":{"type":"ein","value":"810532591"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1194088005],"tin":{"type":"ein","value":"461009805"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205868817],"tin":{"type":"ein","value":"203980340"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700498177],"tin":{"type":"ein","value":"273963932"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1881257111],"tin":{"type":"ein","value":"710900869"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639236011],"tin":{"type":"ein","value":"202674252"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689892473],"tin":{"type":"ein","value":"910787084"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1508176496],"tin":{"type":"ein","value":"810494674"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811296486],"tin":{"type":"ein","value":"271732663"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1215660840],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407996176],"tin":{"type":"ein","value":"862085719"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1215381058],"tin":{"type":"ein","value":"874650553"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205483658],"tin":{"type":"ein","value":"471276000"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1063500296],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407000466],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1699778720],"tin":{"type":"ein","value":"760742970"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386718427],"tin":{"type":"ein","value":"521486235"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1962920751],"tin":{"type":"ein","value":"812758812"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1891366068],"tin":{"type":"ein","value":"911517084"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1982760625],"tin":{"type":"ein","value":"830676542"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1871109728],"tin":{"type":"ein","value":"510609631"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649723990],"tin":{"type":"ein","value":"814880949"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1659963999],"tin":{"type":"ein","value":"861606318"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952612616],"tin":{"type":"ein","value":"810374762"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1154569382,1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1528040904],"tin":{"type":"ein","value":"830584927"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1629712161],"tin":{"type":"ein","value":"881508250"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1316973514],"tin":{"type":"ein","value":"330239910"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1346642899],"tin":{"type":"ein","value":"611744940"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1528382058],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1225585532],"tin":{"type":"ein","value":"810221486"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1992030167],"tin":{"type":"ein","value":"842726601"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811053283],"tin":{"type":"ein","value":"831708803"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1962559617],"tin":{"type":"ein","value":"930958965"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801558051],"tin":{"type":"ein","value":"931479768"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275584997],"tin":{"type":"ein","value":"820514422"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1356528269],"tin":{"type":"ein","value":"911352172"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1235866880],"tin":{"type":"ein","value":"883533024"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710354352],"tin":{"type":"ein","value":"816016016"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1477593648],"tin":{"type":"ein","value":"465062444"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1417667262],"tin":{"type":"ein","value":"921212858"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1255640835],"tin":{"type":"ein","value":"930804385"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003199712],"tin":{"type":"ein","value":"911083936"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1992350854],"tin":{"type":"ein","value":"813268356"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1487979589],"tin":{"type":"ein","value":"911020139"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083703185,1659542223,1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1225643554],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639514094],"tin":{"type":"ein","value":"462349174"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205464880],"tin":{"type":"ein","value":"208574909"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1124075122],"tin":{"type":"ein","value":"301288118"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1508130774],"tin":{"type":"ein","value":"825474996"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1033319124],"tin":{"type":"ein","value":"830696052"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1053435149],"tin":{"type":"ein","value":"475223362"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1841805223],"tin":{"type":"ein","value":"852956015"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1932752193],"tin":{"type":"ein","value":"843637533"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1932154705],"tin":{"type":"ein","value":"562570686"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700824430],"tin":{"type":"ein","value":"650816108"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","St Luke (BrightPath)- Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1972902286],"tin":{"type":"ein","value":"460746544"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1912223959],"tin":{"type":"ein","value":"742927135"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952379547],"tin":{"type":"ein","value":"836000891"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1891925921],"tin":{"type":"ein","value":"843261579"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1588154470],"tin":{"type":"ein","value":"203161362"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1851434823],"tin":{"type":"ein","value":"710924563"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750764015],"tin":{"type":"ein","value":"474317444"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407148901],"tin":{"type":"ein","value":"862540138"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1841507266],"tin":{"type":"ein","value":"800461691"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710134200],"tin":{"type":"ein","value":"465366624"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1609016690],"tin":{"type":"ein","value":"824646909"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1841275211],"tin":{"type":"ein","value":"810513385"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1154448595],"tin":{"type":"ein","value":"455475483"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1538462957],"tin":{"type":"ein","value":"900380178"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205126794],"tin":{"type":"ein","value":"943170060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1417927997],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649279183],"tin":{"type":"ein","value":"810247706"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1972614485],"tin":{"type":"ein","value":"841370759"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1114211448],"tin":{"type":"ein","value":"810542535"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750377115],"tin":{"type":"ein","value":"930386852"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1932793817],"tin":{"type":"ein","value":"521486235"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"532025767"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1285898569],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083888515],"tin":{"type":"ein","value":"261871008"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1538926365],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1336413459],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1447426465],"tin":{"type":"ein","value":"262512237"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1952977480],"tin":{"type":"ein","value":"862540138"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1669676193],"tin":{"type":"ein","value":"811829331"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1366966616],"tin":{"type":"ein","value":"921897083"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811954662],"tin":{"type":"ein","value":"411577266"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1487185393],"tin":{"type":"ein","value":"943342387"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1083773337],"tin":{"type":"ein","value":"261286546"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1699827477],"tin":{"type":"ein","value":"680637976"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275373334],"tin":{"type":"ein","value":"462239207"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1124229372],"tin":{"type":"ein","value":"260167660"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1033827571],"tin":{"type":"ein","value":"883748459"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831135474],"tin":{"type":"ein","value":"200572465"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639109978],"tin":{"type":"ein","value":"841396628"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"262011463"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1104589894],"tin":{"type":"ein","value":"471496699"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1619445749],"tin":{"type":"ein","value":"823939985"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1174051668],"tin":{"type":"ein","value":"821474020"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1558716829],"tin":{"type":"ein","value":"461228277"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811990450],"tin":{"type":"ein","value":"870302621"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1720207681],"tin":{"type":"ein","value":"461992221"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1346710340],"tin":{"type":"ein","value":"832041771"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1225464035],"tin":{"type":"ein","value":"621681724"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003813015],"tin":{"type":"ein","value":"460483710"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689876781],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811500705],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093761348],"tin":{"type":"ein","value":"862644724"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1609046671],"tin":{"type":"ein","value":"261938641"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1851400071],"tin":{"type":"ein","value":"462790210"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1508070970],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1619325016],"tin":{"type":"ein","value":"465587479"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811258379],"tin":{"type":"ein","value":"450439149"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275929408],"tin":{"type":"ein","value":"621766695"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1235129248],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1881899417],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1699726778],"tin":{"type":"ein","value":"810529327"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437104544],"tin":{"type":"ein","value":"270281039"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1356366231],"tin":{"type":"ein","value":"810482444"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1063455418],"tin":{"type":"ein","value":"412158924"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1528177151],"tin":{"type":"ein","value":"331061786"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1861831356],"tin":{"type":"ein","value":"611744940"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1295164044],"tin":{"type":"ein","value":"465392617"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831397835],"tin":{"type":"ein","value":"271369141"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1124029962],"tin":{"type":"ein","value":"810456691"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093713505],"tin":{"type":"ein","value":"930569684"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1982235990],"tin":{"type":"ein","value":"874829433"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700909983],"tin":{"type":"ein","value":"826000422"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1518433721],"tin":{"type":"ein","value":"842013154"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1538484381],"tin":{"type":"ein","value":"936031270"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831867399],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1366464950],"tin":{"type":"ein","value":"611744940"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710217567],"tin":{"type":"ein","value":"874809368"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1871261560],"tin":{"type":"ein","value":"472590671"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1174092829],"tin":{"type":"ein","value":"813889575"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1427536440],"tin":{"type":"ein","value":"831288563"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1851469449],"tin":{"type":"ein","value":"810224734"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700967288],"tin":{"type":"ein","value":"810517289"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1417686684],"tin":{"type":"ein","value":"814665203"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811646961],"tin":{"type":"ein","value":"880908404"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1356810220],"tin":{"type":"ein","value":"822465485"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1740946128],"tin":{"type":"ein","value":"851480915"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1174990550],"tin":{"type":"ein","value":"061763002"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1770756439],"tin":{"type":"ein","value":"816001391"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1184788309],"tin":{"type":"ein","value":"810540504"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205018595],"tin":{"type":"ein","value":"810306157"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1063475259],"tin":{"type":"ein","value":"576849001"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1821449513],"tin":{"type":"ein","value":"810240726"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710325675],"tin":{"type":"ein","value":"853388179"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1033639091],"tin":{"type":"ein","value":"680511559"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1912240128],"tin":{"type":"ein","value":"820380784"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1356667091],"tin":{"type":"ein","value":"200292246"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1881138634],"tin":{"type":"ein","value":"932412343"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144412073],"tin":{"type":"ein","value":"916000960"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1538764287],"tin":{"type":"ein","value":"810512911"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1114113974],"tin":{"type":"ein","value":"810949239"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1255401063],"tin":{"type":"ein","value":"931207082"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396062758],"tin":{"type":"ein","value":"810226415"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1174793426],"tin":{"type":"ein","value":"208603729"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1225169378],"tin":{"type":"ein","value":"931054657"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1477645570],"tin":{"type":"ein","value":"900081433"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164627667],"tin":{"type":"ein","value":"680503101"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1548677602],"tin":{"type":"ein","value":"820465077"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1114770260],"tin":{"type":"ein","value":"475189197"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1932864642],"tin":{"type":"ein","value":"826001347"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1598858136],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1992147516],"tin":{"type":"ein","value":"262526662"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1346771383],"tin":{"type":"ein","value":"813897380"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689720435],"tin":{"type":"ein","value":"820313684"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"826000422"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639245855],"tin":{"type":"ein","value":"930758523"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811258379],"tin":{"type":"ein","value":"450439149"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1063467595],"tin":{"type":"ein","value":"571181758"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1174938781],"tin":{"type":"ein","value":"853813937"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396859633],"tin":{"type":"ein","value":"843211319"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1962469544],"tin":{"type":"ein","value":"631240726"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1053743443],"tin":{"type":"ein","value":"454484738"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811962103],"tin":{"type":"ein","value":"203802500"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1306220355],"tin":{"type":"ein","value":"271402749"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1114185303],"tin":{"type":"ein","value":"810530457"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1255365904],"tin":{"type":"ein","value":"930836166"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164587754],"tin":{"type":"ein","value":"502780707"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144418922],"tin":{"type":"ein","value":"820516012"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1508986621],"tin":{"type":"ein","value":"830346584"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1346710340],"tin":{"type":"ein","value":"832041771"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649360777],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1285650432,1679664122],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710055504],"tin":{"type":"ein","value":"203806300"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1972808723],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1013236934],"tin":{"type":"ein","value":"161782917"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1053677823],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700846284],"tin":{"type":"ein","value":"812179128"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1760884308],"tin":{"type":"ein","value":"823600417"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710134200],"tin":{"type":"ein","value":"465366624"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1174739023],"tin":{"type":"ein","value":"208786792"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689431413],"tin":{"type":"ein","value":"810405434"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1497706055],"tin":{"type":"ein","value":"461478455"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1427476225],"tin":{"type":"ein","value":"260002031"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1740260801],"tin":{"type":"ein","value":"753085499"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1629085907],"tin":{"type":"ein","value":"460937592"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1043503956],"tin":{"type":"ein","value":"851530107"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1326042078],"tin":{"type":"ein","value":"264230898"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275979171],"tin":{"type":"ein","value":"526931247"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1750855532],"tin":{"type":"ein","value":"871513701"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003397878],"tin":{"type":"ein","value":"371881359"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689800666],"tin":{"type":"ein","value":"264349685"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1306529979],"tin":{"type":"ein","value":"841396628"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1053435149],"tin":{"type":"ein","value":"475223362"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1386491967],"tin":{"type":"ein","value":"465446882"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1861892291],"tin":{"type":"ein","value":"473340045"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1134503758],"tin":{"type":"ein","value":"862098580"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1538345145],"tin":{"type":"ein","value":"273674492"}}],"network_name":["Navigator Individual - Specialist Type Providers"]},{"provider_group_id":5,"provider_groups":[{"npi":[1497197438],"tin":{"type":"ein","value":"463168267"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1326596727],"tin":{"type":"ein","value":"516783295"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1861496804],"tin":{"type":"ein","value":"271021561"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1295707776],"tin":{"type":"ein","value":"331046615"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1871901108],"tin":{"type":"ein","value":"264636862"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1194354746],"tin":{"type":"ein","value":"264402524"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1023562147],"tin":{"type":"ein","value":"813471205"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205684065],"tin":{"type":"ein","value":"263494212"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1477567402],"tin":{"type":"ein","value":"204989419"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1437690401],"tin":{"type":"ein","value":"566933359"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1225396211,1750336608],"tin":{"type":"ein","value":"820316476"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1174560098],"tin":{"type":"ein","value":"820226453"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1073562591],"tin":{"type":"ein","value":"820207116"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1982097481],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1629224449],"tin":{"type":"ein","value":"260835445"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1497197438],"tin":{"type":"ein","value":"463168267"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1982673927],"tin":{"type":"ein","value":"330995351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1316230188],"tin":{"type":"ein","value":"200292246"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1598978280],"tin":{"type":"ein","value":"208592848"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1992027635],"tin":{"type":"ein","value":"830696052"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1073081881],"tin":{"type":"ein","value":"832042432"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"816001395"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1669413340],"tin":{"type":"ein","value":"273674492"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1457444119],"tin":{"type":"ein","value":"262674683"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1912960477],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1255664249],"tin":{"type":"ein","value":"810231787"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407381916],"tin":{"type":"ein","value":"815455944"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1407981772],"tin":{"type":"ein","value":"920779668"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1629119086],"tin":{"type":"ein","value":"204333803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1841219698],"tin":{"type":"ein","value":"810513538"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1578300539],"tin":{"type":"ein","value":"824111795"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831564665],"tin":{"type":"ein","value":"472240524"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710047642],"tin":{"type":"ein","value":"810365511"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1831410349],"tin":{"type":"ein","value":"362193608"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1023095825],"tin":{"type":"ein","value":"113729153"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"752945833"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1922160431],"tin":{"type":"ein","value":"810286525"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1124396544],"tin":{"type":"ein","value":"454030103"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1821030230],"tin":{"type":"ein","value":"461415328"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1194867200],"tin":{"type":"ein","value":"841756297"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1275549875],"tin":{"type":"ein","value":"473463109"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1134999527],"tin":{"type":"ein","value":"333724666"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1356316343],"tin":{"type":"ein","value":"810484738"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1770651390],"tin":{"type":"ein","value":"842393195"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1568607083],"tin":{"type":"ein","value":"812623691"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1790786515],"tin":{"type":"ein","value":"823849705"}}],"network_name":["Voyager - ID PCP type","Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1396377016],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1205412038],"tin":{"type":"ein","value":"810513275"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700833472],"tin":{"type":"ein","value":"753006992"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1073967766],"tin":{"type":"ein","value":"812073193"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1710240791],"tin":{"type":"ein","value":"463975379"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1174759997],"tin":{"type":"ein","value":"474157091"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1881707552],"tin":{"type":"ein","value":"621658493"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1811326234],"tin":{"type":"ein","value":"931270695"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1003982935],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1639514094],"tin":{"type":"ein","value":"462349174"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1316426968],"tin":{"type":"ein","value":"831439489"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1114185303],"tin":{"type":"ein","value":"810530457"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1548713191],"tin":{"type":"ein","value":"851571175"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801294087],"tin":{"type":"ein","value":"833017792"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1932176997],"tin":{"type":"ein","value":"851430172"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1740931021],"tin":{"type":"ein","value":"862395519"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1598712507],"tin":{"type":"ein","value":"046001254"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":5,"provider_groups":[{"npi":[1144558172],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1376726661],"tin":{"type":"ein","value":"911855796"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1841866589],"tin":{"type":"ein","value":"474288759"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1285614172],"tin":{"type":"ein","value":"820361262"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1619933264],"tin":{"type":"ein","value":"742462470"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1255345823],"tin":{"type":"ein","value":"863165381"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1164928271],"tin":{"type":"ein","value":"820577008"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1821113572],"tin":{"type":"ein","value":"548920320"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1689327165],"tin":{"type":"ein","value":"843463861"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1427399294],"tin":{"type":"ein","value":"930622075"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":5,"provider_groups":[{"npi":[1417384082],"tin":{"type":"ein","value":"815388294"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":5,"provider_groups":[{"npi":[1700369642],"tin":{"type":"ein","value":"811349238"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1326330200],"tin":{"type":"ein","value":"921281848"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1215216536],"tin":{"type":"ein","value":"822190803"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1013268150],"tin":{"type":"ein","value":"516989885"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1629224373],"tin":{"type":"ein","value":"933553565"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750445342],"tin":{"type":"ein","value":"472441158"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1710368139],"tin":{"type":"ein","value":"831914208"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437157823],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1689186843],"tin":{"type":"ein","value":"030531391"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1417287137],"tin":{"type":"ein","value":"271402985"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1326109406],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1093325110],"tin":{"type":"ein","value":"931019081"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1780959007],"tin":{"type":"ein","value":"452481484"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1114374592],"tin":{"type":"ein","value":"911518728"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1518273465],"tin":{"type":"ein","value":"273765851"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1093786105],"tin":{"type":"ein","value":"931289595"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1689431413],"tin":{"type":"ein","value":"810405434"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1912998261],"tin":{"type":"ein","value":"863190906"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1467925008],"tin":{"type":"ein","value":"862644724"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1073050738],"tin":{"type":"ein","value":"883225122"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1508035767],"tin":{"type":"ein","value":"931068858"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1457444119],"tin":{"type":"ein","value":"262674683"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922768571],"tin":{"type":"ein","value":"833813942"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245560218],"tin":{"type":"ein","value":"853362197"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1154343309],"tin":{"type":"ein","value":"155675546"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1538421094],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1710055504],"tin":{"type":"ein","value":"203806300"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922093293],"tin":{"type":"ein","value":"352210163"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1205868817],"tin":{"type":"ein","value":"203980340"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1417983479],"tin":{"type":"ein","value":"200292246"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1215687124],"tin":{"type":"ein","value":"203770341"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336150267],"tin":{"type":"ein","value":"810477745"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669009700],"tin":{"type":"ein","value":"830300467"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1316973514],"tin":{"type":"ein","value":"330239910"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1194827451],"tin":{"type":"ein","value":"810405434"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669883682],"tin":{"type":"ein","value":"844379746"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1447779004],"tin":{"type":"ein","value":"911869945"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1497868814],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1548208440],"tin":{"type":"ein","value":"930587431"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336519024],"tin":{"type":"ein","value":"474717998"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1689349987],"tin":{"type":"ein","value":"871981299"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1124017553],"tin":{"type":"ein","value":"136481689"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1730443201],"tin":{"type":"ein","value":"301288118"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1427379353],"tin":{"type":"ein","value":"872638041"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790258358],"tin":{"type":"ein","value":"810350909"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1457669962],"tin":{"type":"ein","value":"820489732"}}],"network_name":["Navigator - ID PCP Type","St Luke Navigator (PCP)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1487139770],"tin":{"type":"ein","value":"273193107"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1942820568],"tin":{"type":"ein","value":"850747001"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669574406],"tin":{"type":"ein","value":"810399939"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1225306574],"tin":{"type":"ein","value":"930611783"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1538926365],"tin":{"type":"ein","value":"260650218"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1972567857],"tin":{"type":"ein","value":"910894931"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1174739023],"tin":{"type":"ein","value":"208786792"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1205339058],"tin":{"type":"ein","value":"870629690"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1265431829],"tin":{"type":"ein","value":"930579722"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1770965972],"tin":{"type":"ein","value":"816016016"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1114481447],"tin":{"type":"ein","value":"822576167"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285982967],"tin":{"type":"ein","value":"301130347"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285679878],"tin":{"type":"ein","value":"453263286"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1508279621],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336171313],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306103403],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1275784001],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"113436030"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1144866492],"tin":{"type":"ein","value":"844582670"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1972584944],"tin":{"type":"ein","value":"820316476"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306135900],"tin":{"type":"ein","value":"461170621"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306907308],"tin":{"type":"ein","value":"810347382"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1972690923],"tin":{"type":"ein","value":"862030930"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1447381728],"tin":{"type":"ein","value":"262188574"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801931977],"tin":{"type":"ein","value":"361684106"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1073059358],"tin":{"type":"ein","value":"263208398"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"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":7,"provider_groups":[{"npi":[1063410421],"tin":{"type":"ein","value":"462810421"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1356343263],"tin":{"type":"ein","value":"813229326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1760531404],"tin":{"type":"ein","value":"810264548"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639158645],"tin":{"type":"ein","value":"810510042"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1710368139],"tin":{"type":"ein","value":"831914208"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568492486],"tin":{"type":"ein","value":"930425580"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1265420616],"tin":{"type":"ein","value":"820480153"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1821001736],"tin":{"type":"ein","value":"930748388"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1912189572],"tin":{"type":"ein","value":"810226578"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1609824010],"tin":{"type":"ein","value":"931176109"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1194363945],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1356735112],"tin":{"type":"ein","value":"831354508"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639155815],"tin":{"type":"ein","value":"810477745"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881680577],"tin":{"type":"ein","value":"810475696"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1255193785],"tin":{"type":"ein","value":"862030930"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1447407432],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1952379547],"tin":{"type":"ein","value":"836000891"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982621447],"tin":{"type":"ein","value":"930602940"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1699667501],"tin":{"type":"ein","value":"930593500"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285625988],"tin":{"type":"ein","value":"202982423"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1104467471],"tin":{"type":"ein","value":"200041748"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1003356403],"tin":{"type":"ein","value":"815371141"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1346870144],"tin":{"type":"ein","value":"844303463"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1366529638],"tin":{"type":"ein","value":"931307280"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1144246976],"tin":{"type":"ein","value":"810534672"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1073897468],"tin":{"type":"ein","value":"474350731"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1689936023],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1255768412],"tin":{"type":"ein","value":"931173927"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1164440632],"tin":{"type":"ein","value":"911853574"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649528886],"tin":{"type":"ein","value":"823219731"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245400209],"tin":{"type":"ein","value":"813713054"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1447034061],"tin":{"type":"ein","value":"931095199"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1730168014],"tin":{"type":"ein","value":"201367309"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1598978280],"tin":{"type":"ein","value":"208592848"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1740372648],"tin":{"type":"ein","value":"271213159"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1013919323],"tin":{"type":"ein","value":"823600417"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1033478532],"tin":{"type":"ein","value":"911828806"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669883682],"tin":{"type":"ein","value":"844379746"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639939267],"tin":{"type":"ein","value":"990731029"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1124508494],"tin":{"type":"ein","value":"930767714"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1871758847],"tin":{"type":"ein","value":"261636704"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922093293],"tin":{"type":"ein","value":"352210163"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1942556774],"tin":{"type":"ein","value":"200292246"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1073510277],"tin":{"type":"ein","value":"910564987"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1366424186],"tin":{"type":"ein","value":"900577919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1962559617],"tin":{"type":"ein","value":"930958965"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568187979],"tin":{"type":"ein","value":"842780292"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1386964146],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1255760815],"tin":{"type":"ein","value":"463852982"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1770586794],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396722963],"tin":{"type":"ein","value":"412158924"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285679878],"tin":{"type":"ein","value":"453263286"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1629465166],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1508141656],"tin":{"type":"ein","value":"474400585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1518954106],"tin":{"type":"ein","value":"810231775"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1033650353],"tin":{"type":"ein","value":"931176109"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568236974],"tin":{"type":"ein","value":"261871008"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1386150241],"tin":{"type":"ein","value":"863982628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306926274],"tin":{"type":"ein","value":"397447486"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649791427],"tin":{"type":"ein","value":"203573051"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1326071937],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1346276516],"tin":{"type":"ein","value":"272916539"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245499003],"tin":{"type":"ein","value":"911770171"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1609438696],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1417983628],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1134476310],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1013987460],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1740719871],"tin":{"type":"ein","value":"821916339"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396977393],"tin":{"type":"ein","value":"270705907"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1851177331],"tin":{"type":"ein","value":"273882339"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type","Voyager - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1821120536],"tin":{"type":"ein","value":"208589549"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1316034770],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1215921374],"tin":{"type":"ein","value":"383899499"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1679622344],"tin":{"type":"ein","value":"262571143"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1447426465],"tin":{"type":"ein","value":"262512237"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1013987460],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245412063],"tin":{"type":"ein","value":"832191697"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790735561],"tin":{"type":"ein","value":"460485850"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1174561849],"tin":{"type":"ein","value":"450837040"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336108315],"tin":{"type":"ein","value":"820388664"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1942790555],"tin":{"type":"ein","value":"825091882"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1164054474],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1891087300],"tin":{"type":"ein","value":"823920656"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669156097],"tin":{"type":"ein","value":"810370945"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1235683806],"tin":{"type":"ein","value":"813251202"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1689349987],"tin":{"type":"ein","value":"871981299"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1104809946],"tin":{"type":"ein","value":"930855011"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1598707986],"tin":{"type":"ein","value":"931014705"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285621136],"tin":{"type":"ein","value":"820495165"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1972091700],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1194442681],"tin":{"type":"ein","value":"920808221"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477087823],"tin":{"type":"ein","value":"911503875"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477676005],"tin":{"type":"ein","value":"816001383"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1003939190],"tin":{"type":"ein","value":"475437700"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568960300],"tin":{"type":"ein","value":"821284814"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1972615870],"tin":{"type":"ein","value":"912069412"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1447204409],"tin":{"type":"ein","value":"936002332"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801887658],"tin":{"type":"ein","value":"930429015"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1104483833],"tin":{"type":"ein","value":"830790350"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1972640712],"tin":{"type":"ein","value":"931103256"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1083655997],"tin":{"type":"ein","value":"810232124"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790132603],"tin":{"type":"ein","value":"810401208"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1447960307],"tin":{"type":"ein","value":"921202871"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1528037215],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1740623099],"tin":{"type":"ein","value":"911828806"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1609068899],"tin":{"type":"ein","value":"911732955"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922381565],"tin":{"type":"ein","value":"834018063"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1013413897],"tin":{"type":"ein","value":"862098580"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1033375092],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1275784001],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1124769823],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1144402066],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1447381728],"tin":{"type":"ein","value":"262188574"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588336416],"tin":{"type":"ein","value":"814784330"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1821623349],"tin":{"type":"ein","value":"823262828"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1265847271],"tin":{"type":"ein","value":"931071248"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1851376669],"tin":{"type":"ein","value":"800035248"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1467016873],"tin":{"type":"ein","value":"810467602"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1063924330],"tin":{"type":"ein","value":"823175924"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245222306],"tin":{"type":"ein","value":"810378200"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1366449910],"tin":{"type":"ein","value":"931311609"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1063016442],"tin":{"type":"ein","value":"844582670"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1700967288],"tin":{"type":"ein","value":"810517289"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1841686144],"tin":{"type":"ein","value":"473702640"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750855532],"tin":{"type":"ein","value":"871513701"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1376552893],"tin":{"type":"ein","value":"816016016"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649514639],"tin":{"type":"ein","value":"841859109"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1487632238],"tin":{"type":"ein","value":"930743012"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306854914],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1689888034],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1295037042],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1467979443],"tin":{"type":"ein","value":"822606374"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1932258563],"tin":{"type":"ein","value":"930557803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1760434385],"tin":{"type":"ein","value":"270591394"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1770650335],"tin":{"type":"ein","value":"930425580"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982906194],"tin":{"type":"ein","value":"823239755"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982097481],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801030770],"tin":{"type":"ein","value":"161782917"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750053559],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1972902286],"tin":{"type":"ein","value":"460746544"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477949766],"tin":{"type":"ein","value":"472920584"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1013302017],"tin":{"type":"ein","value":"930415219"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1952331282],"tin":{"type":"ein","value":"936002451"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1083857817],"tin":{"type":"ein","value":"911853574"}}],"network_name":["Navigator - WA Specialist Type","Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1912228727],"tin":{"type":"ein","value":"271030968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639552078],"tin":{"type":"ein","value":"930569684"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1811363153],"tin":{"type":"ein","value":"272237519"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1811437882],"tin":{"type":"ein","value":"371843700"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1093761348],"tin":{"type":"ein","value":"862644724"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1043262934],"tin":{"type":"ein","value":"810530457"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1508806191],"tin":{"type":"ein","value":"271130874"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1508279621],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1205833969,1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669736419],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1821720608],"tin":{"type":"ein","value":"810348783"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1720021868],"tin":{"type":"ein","value":"930707791"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator LEHP - OR Specialist Type (Exclude OHSU)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1932269735],"tin":{"type":"ein","value":"820277763"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881257111],"tin":{"type":"ein","value":"710900869"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1457531147],"tin":{"type":"ein","value":"203168430"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790704393],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790905495],"tin":{"type":"ein","value":"710900869"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1194393314],"tin":{"type":"ein","value":"611916051"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982673927],"tin":{"type":"ein","value":"330995351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1699906305],"tin":{"type":"ein","value":"474610817"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1962098137],"tin":{"type":"ein","value":"854255492"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1821707837],"tin":{"type":"ein","value":"822458102"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1578518916],"tin":{"type":"ein","value":"810374762"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1699827477],"tin":{"type":"ein","value":"680637976"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1518384825],"tin":{"type":"ein","value":"472369736"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285251132],"tin":{"type":"ein","value":"371912708"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396350229],"tin":{"type":"ein","value":"843379970"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1962599720],"tin":{"type":"ein","value":"363843543"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1457170987],"tin":{"type":"ein","value":"833935694"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1740367135],"tin":{"type":"ein","value":"810477745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1003873340],"tin":{"type":"ein","value":"863777955"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1194827451],"tin":{"type":"ein","value":"810405434"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1063738185],"tin":{"type":"ein","value":"410682405"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1124769823],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184615197],"tin":{"type":"ein","value":"810348783"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881197804],"tin":{"type":"ein","value":"930611783"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982630695],"tin":{"type":"ein","value":"931232553"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1952479537],"tin":{"type":"ein","value":"810224734"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1124181987],"tin":{"type":"ein","value":"911806451"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437747136],"tin":{"type":"ein","value":"844582670"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"936000566"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1073939211],"tin":{"type":"ein","value":"830819201"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1487837563],"tin":{"type":"ein","value":"474717998"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1023435591],"tin":{"type":"ein","value":"833120668"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336149517],"tin":{"type":"ein","value":"934491454"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922526391],"tin":{"type":"ein","value":"843499565"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1467033993],"tin":{"type":"ein","value":"922578164"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1457067134],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669736419],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1720692007],"tin":{"type":"ein","value":"930604944"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1255433520],"tin":{"type":"ein","value":"931315468"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1134440001],"tin":{"type":"ein","value":"333567518"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1609925171],"tin":{"type":"ein","value":"264404173"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922095934],"tin":{"type":"ein","value":"930752805"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750362869],"tin":{"type":"ein","value":"680568557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982235990],"tin":{"type":"ein","value":"880575655"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831605138],"tin":{"type":"ein","value":"863982628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1720074909],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1619500097],"tin":{"type":"ein","value":"873607274"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437655255],"tin":{"type":"ein","value":"863165381"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1417667262],"tin":{"type":"ein","value":"921212858"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1871537878],"tin":{"type":"ein","value":"465318746"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1225624497],"tin":{"type":"ein","value":"854255492"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1851906895],"tin":{"type":"ein","value":"852687541"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1942388830],"tin":{"type":"ein","value":"831179762"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1053719781],"tin":{"type":"ein","value":"923400624"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1609960228],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982849626],"tin":{"type":"ein","value":"820779609"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1659157097],"tin":{"type":"ein","value":"932813074"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1760673933],"tin":{"type":"ein","value":"850822979"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1932439551],"tin":{"type":"ein","value":"931325527"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831399864],"tin":{"type":"ein","value":"851571175"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285932186],"tin":{"type":"ein","value":"271242692"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1861556284],"tin":{"type":"ein","value":"922772328"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831291517],"tin":{"type":"ein","value":"930583856"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1912790080],"tin":{"type":"ein","value":"043634356"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285441998],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1497287775],"tin":{"type":"ein","value":"204696843"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306861737],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245821867],"tin":{"type":"ein","value":"812360037"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1376527788],"tin":{"type":"ein","value":"460937592"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881740496],"tin":{"type":"ein","value":"650816108"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","St Luke (BrightPath)- Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1467719351],"tin":{"type":"ein","value":"454783168"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1154569382,1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1619955978],"tin":{"type":"ein","value":"133757370"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184669020],"tin":{"type":"ein","value":"930613912"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1487129557],"tin":{"type":"ein","value":"883212804"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"816001395"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396766598],"tin":{"type":"ein","value":"363798756"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1851403265],"tin":{"type":"ein","value":"826001208"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1659447860],"tin":{"type":"ein","value":"852961140"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649403866],"tin":{"type":"ein","value":"823962056"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1861500035],"tin":{"type":"ein","value":"820446265"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":7,"provider_groups":[{"npi":[1740289024],"tin":{"type":"ein","value":"820523354"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1730252487],"tin":{"type":"ein","value":"930983555"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790905164],"tin":{"type":"ein","value":"261485288"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1275515157],"tin":{"type":"ein","value":"364462300"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1841275211],"tin":{"type":"ein","value":"810513385"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1356733026],"tin":{"type":"ein","value":"275017250"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922095934],"tin":{"type":"ein","value":"930752805"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1770676447],"tin":{"type":"ein","value":"810536068"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1609992320],"tin":{"type":"ein","value":"564838256"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1760861835],"tin":{"type":"ein","value":"473791728"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1770930323],"tin":{"type":"ein","value":"711008379"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1063461325],"tin":{"type":"ein","value":"911785409"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184882623],"tin":{"type":"ein","value":"271987430"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588719900],"tin":{"type":"ein","value":"311339854"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1841805223],"tin":{"type":"ein","value":"852956015"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1528382058],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1073967766],"tin":{"type":"ein","value":"812073193"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1235210881],"tin":{"type":"ein","value":"462013125"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649325580],"tin":{"type":"ein","value":"452738860"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1326596727],"tin":{"type":"ein","value":"516783295"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1356811574],"tin":{"type":"ein","value":"475343977"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801896683],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1760710958],"tin":{"type":"ein","value":"460996447"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1407237142],"tin":{"type":"ein","value":"831851140"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790948404],"tin":{"type":"ein","value":"611744940"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1659691210],"tin":{"type":"ein","value":"882607037"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1215554068,1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type","Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1447934534],"tin":{"type":"ein","value":"931129558"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1083304612],"tin":{"type":"ein","value":"921785143"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1851371959],"tin":{"type":"ein","value":"470917144"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1871834382],"tin":{"type":"ein","value":"911753075"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750386256],"tin":{"type":"ein","value":"810593962"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1467181099],"tin":{"type":"ein","value":"833387600"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1689613341],"tin":{"type":"ein","value":"810406222"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1720511199],"tin":{"type":"ein","value":"931235600"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1952917536],"tin":{"type":"ein","value":"842942411"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1730220351],"tin":{"type":"ein","value":"810362748"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1174136725],"tin":{"type":"ein","value":"200041748"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1548355811],"tin":{"type":"ein","value":"826003449"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1104809946],"tin":{"type":"ein","value":"930855011"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1356642698],"tin":{"type":"ein","value":"872638041"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1295198885],"tin":{"type":"ein","value":"474400585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1033170519],"tin":{"type":"ein","value":"930979075"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1710349238],"tin":{"type":"ein","value":"844938631"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184897910],"tin":{"type":"ein","value":"932689822"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790990224],"tin":{"type":"ein","value":"930714057"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1861513533],"tin":{"type":"ein","value":"042667035"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285368639],"tin":{"type":"ein","value":"930622075"}}],"network_name":["Oregon SmartHealth Tier 1 Network, PCP Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1659553196],"tin":{"type":"ein","value":"852016675"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1720028228],"tin":{"type":"ein","value":"261781103"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336660331],"tin":{"type":"ein","value":"930804385"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1003894957],"tin":{"type":"ein","value":"911589064"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1205889110],"tin":{"type":"ein","value":"931201612"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1134278682],"tin":{"type":"ein","value":"810513393"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1295983161],"tin":{"type":"ein","value":"843335491"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588683866],"tin":{"type":"ein","value":"816017655"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881620839],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1962627265],"tin":{"type":"ein","value":"820497771"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881780179],"tin":{"type":"ein","value":"810255832"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1629085907],"tin":{"type":"ein","value":"460937592"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649369505],"tin":{"type":"ein","value":"910862542"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1407065956],"tin":{"type":"ein","value":"208049182"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1720074909],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477216950],"tin":{"type":"ein","value":"141910165"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1275516742],"tin":{"type":"ein","value":"201426440"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1386837367],"tin":{"type":"ein","value":"205016802"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1033498415],"tin":{"type":"ein","value":"208020226"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1033769435],"tin":{"type":"ein","value":"208784604"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568664944],"tin":{"type":"ein","value":"203161362"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1134472533],"tin":{"type":"ein","value":"201508867"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1952438814],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1407855240],"tin":{"type":"ein","value":"870533822"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649369505],"tin":{"type":"ein","value":"910862542"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1871758847],"tin":{"type":"ein","value":"261636704"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1043379274],"tin":{"type":"ein","value":"810391531"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306804588],"tin":{"type":"ein","value":"931127631"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1508070970],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639236011],"tin":{"type":"ein","value":"202674252"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1093810442],"tin":{"type":"ein","value":"826000431"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982928446],"tin":{"type":"ein","value":"272176056"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1992746432],"tin":{"type":"ein","value":"883294375"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1871269324],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1194001297],"tin":{"type":"ein","value":"824092108"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1205446135],"tin":{"type":"ein","value":"850949668"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1447300132],"tin":{"type":"ein","value":"810367074"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285075002],"tin":{"type":"ein","value":"811349238"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1902072572],"tin":{"type":"ein","value":"261948511"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588141048],"tin":{"type":"ein","value":"474718253"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"930391573"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1578194130],"tin":{"type":"ein","value":"200637979"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336175959],"tin":{"type":"ein","value":"810536454"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1811257918],"tin":{"type":"ein","value":"454985415"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1316965346],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1598794414],"tin":{"type":"ein","value":"753049885"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1942308473],"tin":{"type":"ein","value":"931086169"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437143161],"tin":{"type":"ein","value":"272064429"}}],"network_name":["St Luke (BrightPath)- PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1013212489],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1780872564],"tin":{"type":"ein","value":"911853574"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669660445],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396859591],"tin":{"type":"ein","value":"820399298"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1891713533],"tin":{"type":"ein","value":"810384618"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1619169596],"tin":{"type":"ein","value":"930386912"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477877934],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1972179208],"tin":{"type":"ein","value":"852522925"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1518648344],"tin":{"type":"ein","value":"862030930"}}],"network_name":["Voyager - OR PCP type","Voyager - WA PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1275578775],"tin":{"type":"ein","value":"930721833"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1295983161],"tin":{"type":"ein","value":"843335491"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1538494489],"tin":{"type":"ein","value":"930569254"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1780782367],"tin":{"type":"ein","value":"872779175"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1487696985],"tin":{"type":"ein","value":"930937095"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750794913],"tin":{"type":"ein","value":"931221257"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1912120817],"tin":{"type":"ein","value":"810302402"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1740260801],"tin":{"type":"ein","value":"753085499"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1518944982],"tin":{"type":"ein","value":"930731016"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1578194130],"tin":{"type":"ein","value":"200637979"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1659639409],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1659690535],"tin":{"type":"ein","value":"272506639"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1730193988],"tin":{"type":"ein","value":"810503794"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1558747576],"tin":{"type":"ein","value":"824215446"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306496732],"tin":{"type":"ein","value":"544534760"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639508831],"tin":{"type":"ein","value":"812673196"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1699026716],"tin":{"type":"ein","value":"931105108"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1467097725],"tin":{"type":"ein","value":"843638195"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1093226318],"tin":{"type":"ein","value":"462239207"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1467881813],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1346352515],"tin":{"type":"ein","value":"030560254"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1417945627,1912945544],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1205372604],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1346575206],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1679810519],"tin":{"type":"ein","value":"834107394"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1205931292],"tin":{"type":"ein","value":"810529600"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1366778060],"tin":{"type":"ein","value":"810401208"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1386205003],"tin":{"type":"ein","value":"833935694"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1578268447],"tin":{"type":"ein","value":"923230569"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790294965],"tin":{"type":"ein","value":"931176109"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1902981558],"tin":{"type":"ein","value":"931305103"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336288968],"tin":{"type":"ein","value":"930774210"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437884665],"tin":{"type":"ein","value":"911352172"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336119338],"tin":{"type":"ein","value":"810224734"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1134287451],"tin":{"type":"ein","value":"462761651"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922073907],"tin":{"type":"ein","value":"810385629"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790245439],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1497166276],"tin":{"type":"ein","value":"881069857"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1376904912],"tin":{"type":"ein","value":"320517750"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1386790160],"tin":{"type":"ein","value":"930929338"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1902908262],"tin":{"type":"ein","value":"810245848"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1659774792],"tin":{"type":"ein","value":"822865599"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750313060],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1912480153],"tin":{"type":"ein","value":"043634356"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649788217],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1740372648],"tin":{"type":"ein","value":"271213159"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922095934],"tin":{"type":"ein","value":"930752805"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1174276364],"tin":{"type":"ein","value":"841859109"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588683866],"tin":{"type":"ein","value":"816017655"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1700866084],"tin":{"type":"ein","value":"824855980"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1356414395],"tin":{"type":"ein","value":"936002615"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1316324387],"tin":{"type":"ein","value":"823080724"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1073754982],"tin":{"type":"ein","value":"463022572"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1447245857],"tin":{"type":"ein","value":"810398400"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1215660840],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922160431],"tin":{"type":"ein","value":"810286525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"841644588"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1073338810],"tin":{"type":"ein","value":"816017655"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1689101958],"tin":{"type":"ein","value":"930910794"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1043604945],"tin":{"type":"ein","value":"810374762"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801936117],"tin":{"type":"ein","value":"870718924"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1023079092],"tin":{"type":"ein","value":"203166880"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1346580610],"tin":{"type":"ein","value":"461803162"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184882623],"tin":{"type":"ein","value":"271987430"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1578268447],"tin":{"type":"ein","value":"923230569"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306603618],"tin":{"type":"ein","value":"270288886"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1891960233],"tin":{"type":"ein","value":"461992221"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1194303677],"tin":{"type":"ein","value":"810484738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1275531865],"tin":{"type":"ein","value":"431178031"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649055005],"tin":{"type":"ein","value":"872818912"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1144287723],"tin":{"type":"ein","value":"931234820"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1891732905],"tin":{"type":"ein","value":"363525049"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1861413452],"tin":{"type":"ein","value":"930848530"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1417667262],"tin":{"type":"ein","value":"921212858"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184882623],"tin":{"type":"ein","value":"271987430"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336718097],"tin":{"type":"ein","value":"942195249"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1942753637],"tin":{"type":"ein","value":"812139227"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831182278],"tin":{"type":"ein","value":"820518305"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":7,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"840611484"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1811978356],"tin":{"type":"ein","value":"900082030"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1811949431],"tin":{"type":"ein","value":"826000428"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881641629],"tin":{"type":"ein","value":"826001139"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477619005],"tin":{"type":"ein","value":"841394136"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1548626872],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1629258322],"tin":{"type":"ein","value":"273815236"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1740260801],"tin":{"type":"ein","value":"753085499"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1730978362],"tin":{"type":"ein","value":"333316998"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1619955978],"tin":{"type":"ein","value":"133757370"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1699228403],"tin":{"type":"ein","value":"300794492"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1912189572],"tin":{"type":"ein","value":"810226578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1134703465],"tin":{"type":"ein","value":"823663428"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831289826],"tin":{"type":"ein","value":"930823489"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1780221499],"tin":{"type":"ein","value":"843763112"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245400209],"tin":{"type":"ein","value":"813713054"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1053488387],"tin":{"type":"ein","value":"810286525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1487782900],"tin":{"type":"ein","value":"930686923"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1972264679],"tin":{"type":"ein","value":"270175385"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1861753923],"tin":{"type":"ein","value":"260185656"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1083869796,1154372340],"tin":{"type":"ein","value":"930110095"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1700967288],"tin":{"type":"ein","value":"810517289"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1932888542],"tin":{"type":"ein","value":"264402524"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1528040904],"tin":{"type":"ein","value":"830584927"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669574406],"tin":{"type":"ein","value":"810399939"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437813409],"tin":{"type":"ein","value":"260185656"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750344149],"tin":{"type":"ein","value":"461062769"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1235255605],"tin":{"type":"ein","value":"820521864"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1497103097,1518352350],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type","Voyager - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396373957],"tin":{"type":"ein","value":"930608754"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588683866],"tin":{"type":"ein","value":"816017655"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1134538481],"tin":{"type":"ein","value":"273175207"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1063924330],"tin":{"type":"ein","value":"823175924"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1972678316],"tin":{"type":"ein","value":"942854057"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1851403265],"tin":{"type":"ein","value":"826001208"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1326079609,1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1720021868],"tin":{"type":"ein","value":"930707791"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1063581247],"tin":{"type":"ein","value":"911791260"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831220052],"tin":{"type":"ein","value":"812711954"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1487613261],"tin":{"type":"ein","value":"930768921"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285670992],"tin":{"type":"ein","value":"910866217"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1740370626],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285399410],"tin":{"type":"ein","value":"862826028"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1275568735],"tin":{"type":"ein","value":"931164846"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1528598109],"tin":{"type":"ein","value":"936002292"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1144626342],"tin":{"type":"ein","value":"883182331"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1124400908],"tin":{"type":"ein","value":"473607888"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1003897646,1063975407,1578140414],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1538547211],"tin":{"type":"ein","value":"825450717"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1346847779],"tin":{"type":"ein","value":"810365511"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1538178066],"tin":{"type":"ein","value":"931316315"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881461705],"tin":{"type":"ein","value":"884045276"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1932776523],"tin":{"type":"ein","value":"842485332"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1124864566],"tin":{"type":"ein","value":"931234820"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1194110247],"tin":{"type":"ein","value":"931280206"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1518306422],"tin":{"type":"ein","value":"870629690"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437728037],"tin":{"type":"ein","value":"873714859"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1053719781],"tin":{"type":"ein","value":"923400624"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1841286267],"tin":{"type":"ein","value":"931189291"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1548797707],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285060426],"tin":{"type":"ein","value":"831851140"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1619139268],"tin":{"type":"ein","value":"931048304"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750477360],"tin":{"type":"ein","value":"472441158"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1821420571],"tin":{"type":"ein","value":"462617367"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1730454414],"tin":{"type":"ein","value":"453641149"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1518306422],"tin":{"type":"ein","value":"870629690"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1609068899],"tin":{"type":"ein","value":"911732955"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306525464],"tin":{"type":"ein","value":"824855980"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1205531175],"tin":{"type":"ein","value":"923175471"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1952745457],"tin":{"type":"ein","value":"910845805"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649854043],"tin":{"type":"ein","value":"810231793"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1598874232],"tin":{"type":"ein","value":"810373589"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1841886447],"tin":{"type":"ein","value":"810264548"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1497704860],"tin":{"type":"ein","value":"810666871"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1467403378],"tin":{"type":"ein","value":"930417507"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1154367118],"tin":{"type":"ein","value":"863777955"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922363092],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1386898435],"tin":{"type":"ein","value":"261819228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1093810442],"tin":{"type":"ein","value":"826000431"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1073891172],"tin":{"type":"ein","value":"843533391"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881660389],"tin":{"type":"ein","value":"815286502"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1134291339],"tin":{"type":"ein","value":"810378200"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1043272099],"tin":{"type":"ein","value":"931287832"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1255849899],"tin":{"type":"ein","value":"850606508"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477948628],"tin":{"type":"ein","value":"161782917"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1457040396],"tin":{"type":"ein","value":"621400785"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1679696157],"tin":{"type":"ein","value":"770590285"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1699918045],"tin":{"type":"ein","value":"821493906"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1952405698],"tin":{"type":"ein","value":"900383457"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1093073181],"tin":{"type":"ein","value":"833021264"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1740441898],"tin":{"type":"ein","value":"936002451"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1033203146],"tin":{"type":"ein","value":"820467723"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1851338263],"tin":{"type":"ein","value":"861150080"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1083824031],"tin":{"type":"ein","value":"263946191"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1205152576],"tin":{"type":"ein","value":"272358620"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1760434385],"tin":{"type":"ein","value":"270591394"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1417956558],"tin":{"type":"ein","value":"943092446"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1528040904],"tin":{"type":"ein","value":"830584927"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1851469449],"tin":{"type":"ein","value":"810224734"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1093396673],"tin":{"type":"ein","value":"262671896"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1023431129],"tin":{"type":"ein","value":"815232193"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1205018595],"tin":{"type":"ein","value":"810306157"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1053753988],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1063455418],"tin":{"type":"ein","value":"931896575"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1871787754],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1811646961],"tin":{"type":"ein","value":"880908404"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669413340],"tin":{"type":"ein","value":"273674492"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1427142231],"tin":{"type":"ein","value":"810439198"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285399410],"tin":{"type":"ein","value":"862826028"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1093749756],"tin":{"type":"ein","value":"930583856"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1053827824],"tin":{"type":"ein","value":"823721910"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1275956880],"tin":{"type":"ein","value":"931215381"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881707552],"tin":{"type":"ein","value":"621658493"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881052009],"tin":{"type":"ein","value":"842612281"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568607083],"tin":{"type":"ein","value":"812623691"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750376299],"tin":{"type":"ein","value":"470615920"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1558385971],"tin":{"type":"ein","value":"271239841"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1255932059],"tin":{"type":"ein","value":"204333803"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1902131857],"tin":{"type":"ein","value":"270943279"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1417900309],"tin":{"type":"ein","value":"464197680"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285413807],"tin":{"type":"ein","value":"810484738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1407116338],"tin":{"type":"ein","value":"810522488"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1912120817],"tin":{"type":"ein","value":"810302402"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1528037215],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1952617235],"tin":{"type":"ein","value":"043824972"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1598517088],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1811317944],"tin":{"type":"ein","value":"930884808"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982177929],"tin":{"type":"ein","value":"454783168"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1154426104],"tin":{"type":"ein","value":"820472265"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477593648],"tin":{"type":"ein","value":"465062444"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396766598],"tin":{"type":"ein","value":"363798756"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1710354337],"tin":{"type":"ein","value":"861797088"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1699906305],"tin":{"type":"ein","value":"474610817"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477593648],"tin":{"type":"ein","value":"465062444"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306802350],"tin":{"type":"ein","value":"202430574"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1508890682],"tin":{"type":"ein","value":"820251526"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1063961951,1982097481],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1720156482],"tin":{"type":"ein","value":"931194986"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922540129],"tin":{"type":"ein","value":"902636195"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285614172],"tin":{"type":"ein","value":"820361262"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1205289717],"tin":{"type":"ein","value":"930770423"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1215550579],"tin":{"type":"ein","value":"810141660"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1407832751],"tin":{"type":"ein","value":"930425580"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1154569382],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1841269750],"tin":{"type":"ein","value":"930880431"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1255344610],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790786515],"tin":{"type":"ein","value":"823849705"}}],"network_name":["St Luke Navigator (PCP)","Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1013900547],"tin":{"type":"ein","value":"836000891"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1972864262],"tin":{"type":"ein","value":"851057600"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1487782900],"tin":{"type":"ein","value":"930686923"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881670198],"tin":{"type":"ein","value":"830696052"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1417027418],"tin":{"type":"ein","value":"936031270"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790219301],"tin":{"type":"ein","value":"930309970"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982906194],"tin":{"type":"ein","value":"823239755"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1790167831],"tin":{"type":"ein","value":"936002339"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1760439079],"tin":{"type":"ein","value":"832587632"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1548616444],"tin":{"type":"ein","value":"883424025"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1033650353],"tin":{"type":"ein","value":"931176109"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669868493],"tin":{"type":"ein","value":"843499565"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1740974534],"tin":{"type":"ein","value":"911814404"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1770291924],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1841269750],"tin":{"type":"ein","value":"990415437"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1538803747],"tin":{"type":"ein","value":"882033690"}}],"network_name":["St Luke Navigator (PCP)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881641629],"tin":{"type":"ein","value":"826001139"}}],"network_name":["Voyager - OR Specialist Type","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1497754782],"tin":{"type":"ein","value":"810515463"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568557684],"tin":{"type":"ein","value":"260616414"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1841286267],"tin":{"type":"ein","value":"931189291"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831653989],"tin":{"type":"ein","value":"832991651"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1851050298],"tin":{"type":"ein","value":"833775432"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1740477009],"tin":{"type":"ein","value":"911109753"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1407345614],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1851520514],"tin":{"type":"ein","value":"270199061"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1114969912],"tin":{"type":"ein","value":"930583150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"841644588"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1407271117],"tin":{"type":"ein","value":"841396628"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1265449193],"tin":{"type":"ein","value":"611903931"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1528084399],"tin":{"type":"ein","value":"810475352"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1063635506],"tin":{"type":"ein","value":"931148247"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1497851893],"tin":{"type":"ein","value":"931234805"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437157823],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1972637213],"tin":{"type":"ein","value":"810534672"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396074548],"tin":{"type":"ein","value":"810231792"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1710171657],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1043528011],"tin":{"type":"ein","value":"273311774"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1023272077],"tin":{"type":"ein","value":"931062558"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285621136],"tin":{"type":"ein","value":"820495165"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1710273362],"tin":{"type":"ein","value":"930223960"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1780046995],"tin":{"type":"ein","value":"931224010"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1538926365],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336413459],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336413459],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1336210202],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1689623761],"tin":{"type":"ein","value":"204562526"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1104876820],"tin":{"type":"ein","value":"203562579"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1699524637],"tin":{"type":"ein","value":"043634356"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1295981272],"tin":{"type":"ein","value":"844879060"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1992161814],"tin":{"type":"ein","value":"930611783"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669437497],"tin":{"type":"ein","value":"731677879"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1427046713],"tin":{"type":"ein","value":"260325022"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306071006],"tin":{"type":"ein","value":"831360687"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1851376669],"tin":{"type":"ein","value":"800035248"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1881828135],"tin":{"type":"ein","value":"264811143"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1508986621],"tin":{"type":"ein","value":"830346584"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1558778233],"tin":{"type":"ein","value":"811026078"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1235866880],"tin":{"type":"ein","value":"883533024"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1730263328],"tin":{"type":"ein","value":"432049549"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1518136308],"tin":{"type":"ein","value":"810236460"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1356874259],"tin":{"type":"ein","value":"916071384"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1609292002],"tin":{"type":"ein","value":"450471748"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1780959007],"tin":{"type":"ein","value":"452481484"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1003811894],"tin":{"type":"ein","value":"930407781"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1770362238],"tin":{"type":"ein","value":"814759166"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1083771802],"tin":{"type":"ein","value":"810425934"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1699726778],"tin":{"type":"ein","value":"810529327"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1316338486],"tin":{"type":"ein","value":"911109753"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1164437943],"tin":{"type":"ein","value":"680513045"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1154418101],"tin":{"type":"ein","value":"853448082"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1598437147],"tin":{"type":"ein","value":"842918181"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1043788060],"tin":{"type":"ein","value":"352461752"}}],"network_name":["Navigator - ID PCP Type","St Luke Navigator (PCP)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306135900],"tin":{"type":"ein","value":"461170621"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1902131857],"tin":{"type":"ein","value":"270943279"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1003935388],"tin":{"type":"ein","value":"383849354"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1598339392],"tin":{"type":"ein","value":"831039743"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1871962951],"tin":{"type":"ein","value":"273083641"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1992238091],"tin":{"type":"ein","value":"813572126"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1255592838],"tin":{"type":"ein","value":"800758360"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"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":7,"provider_groups":[{"npi":[1700909983],"tin":{"type":"ein","value":"826000422"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1154426104],"tin":{"type":"ein","value":"820472265"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1306854914],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1457444119],"tin":{"type":"ein","value":"262674683"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1710372693],"tin":{"type":"ein","value":"810398400"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1649052697],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1083807101],"tin":{"type":"ein","value":"260528775"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1851517999],"tin":{"type":"ein","value":"930579541"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1992746432],"tin":{"type":"ein","value":"883294375"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1720219934],"tin":{"type":"ein","value":"842013154"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1669891032],"tin":{"type":"ein","value":"465369942"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1619955978],"tin":{"type":"ein","value":"133757370"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1275516742],"tin":{"type":"ein","value":"201426440"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1235129248],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1013987460],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1134999527],"tin":{"type":"ein","value":"333724666"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1205344884],"tin":{"type":"ein","value":"263208398"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810463482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1346224391],"tin":{"type":"ein","value":"816016920"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1730148271],"tin":{"type":"ein","value":"930657210"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1073679288],"tin":{"type":"ein","value":"204448671"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1811575079],"tin":{"type":"ein","value":"843244265"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1720655665],"tin":{"type":"ein","value":"870835486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1770930323],"tin":{"type":"ein","value":"711008379"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"930429015"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1366422602],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1225643554],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1487691002],"tin":{"type":"ein","value":"870372919"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1265547939],"tin":{"type":"ein","value":"810475376"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1326079609,1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1396004503],"tin":{"type":"ein","value":"812015588"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568711398],"tin":{"type":"ein","value":"810530457"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1073575163],"tin":{"type":"ein","value":"881980222"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1821623349],"tin":{"type":"ein","value":"823262828"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1083602205],"tin":{"type":"ein","value":"473448483"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1609979145],"tin":{"type":"ein","value":"861076072"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568526952],"tin":{"type":"ein","value":"911849816"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1821607490],"tin":{"type":"ein","value":"844288427"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1679228431],"tin":{"type":"ein","value":"843431552"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1215554068,1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1457826125],"tin":{"type":"ein","value":"830651822"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1013246545],"tin":{"type":"ein","value":"821186424"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1174051668],"tin":{"type":"ein","value":"821474020"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1215273792],"tin":{"type":"ein","value":"810243720"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1588768204],"tin":{"type":"ein","value":"810233121"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1043657687],"tin":{"type":"ein","value":"824823451"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1356393805],"tin":{"type":"ein","value":"911605622"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1750452983],"tin":{"type":"ein","value":"810515463"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1104878859],"tin":{"type":"ein","value":"911394965"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1801066139],"tin":{"type":"ein","value":"814849012"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1982279675],"tin":{"type":"ein","value":"861797088"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1568417103],"tin":{"type":"ein","value":"930508781"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1730267220],"tin":{"type":"ein","value":"930768921"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1285720896],"tin":{"type":"ein","value":"916068143"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":7,"provider_groups":[{"npi":[1639969637],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1821431727],"tin":{"type":"ein","value":"822865599"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1720223753],"tin":{"type":"ein","value":"931195549"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1235683806],"tin":{"type":"ein","value":"813251202"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":7,"provider_groups":[{"npi":[1225081318],"tin":{"type":"ein","value":"910845805"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1093182149],"tin":{"type":"ein","value":"810231786"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1124060306],"tin":{"type":"ein","value":"931004699"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":7,"provider_groups":[{"npi":[1003241084],"tin":{"type":"ein","value":"843288564"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1013531979],"tin":{"type":"ein","value":"842249644"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1114934023],"tin":{"type":"ein","value":"810232122"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":8,"provider_groups":[{"npi":[1407870090],"tin":{"type":"ein","value":"943122268"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1043877764],"tin":{"type":"ein","value":"481290066"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1518625920],"tin":{"type":"ein","value":"842591372"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1811296486],"tin":{"type":"ein","value":"271732663"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1013435361],"tin":{"type":"ein","value":"273882339"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1972640712],"tin":{"type":"ein","value":"931103256"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477816965],"tin":{"type":"ein","value":"455466463"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1679905632],"tin":{"type":"ein","value":"920800911"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245285923],"tin":{"type":"ein","value":"465224638"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1235567959],"tin":{"type":"ein","value":"822081732"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801239595],"tin":{"type":"ein","value":"200069475"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1841885993],"tin":{"type":"ein","value":"922836915"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1073817714],"tin":{"type":"ein","value":"930430029"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1861434441],"tin":{"type":"ein","value":"910845805"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1134102320],"tin":{"type":"ein","value":"931310140"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497781512],"tin":{"type":"ein","value":"263576221"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497742415],"tin":{"type":"ein","value":"862327525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1659963999],"tin":{"type":"ein","value":"861606318"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1750351938],"tin":{"type":"ein","value":"161782917"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1821171588],"tin":{"type":"ein","value":"203917534"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669720397],"tin":{"type":"ein","value":"455254219"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578584611],"tin":{"type":"ein","value":"204425381"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1013987460],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801900832],"tin":{"type":"ein","value":"205058015"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801066139],"tin":{"type":"ein","value":"814849012"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912670795],"tin":{"type":"ein","value":"862818663"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437370947],"tin":{"type":"ein","value":"471502011"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700170818],"tin":{"type":"ein","value":"833017792"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700929593],"tin":{"type":"ein","value":"930867459"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477583722],"tin":{"type":"ein","value":"912146629"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1629189113],"tin":{"type":"ein","value":"263946191"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1093717340],"tin":{"type":"ein","value":"930771833"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810373589"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205871050],"tin":{"type":"ein","value":"911836091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1619955978],"tin":{"type":"ein","value":"133757370"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1508279621],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1134999527],"tin":{"type":"ein","value":"333724666"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1083945695],"tin":{"type":"ein","value":"911394965"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1821184888],"tin":{"type":"ein","value":"810463482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1003516758],"tin":{"type":"ein","value":"200041748"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1144779943],"tin":{"type":"ein","value":"821215752"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1699073148],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912795956],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1750468286],"tin":{"type":"ein","value":"810529559"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"931071868"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1174775951],"tin":{"type":"ein","value":"263820269"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1619545936],"tin":{"type":"ein","value":"923375004"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":8,"provider_groups":[{"npi":[1255496709],"tin":{"type":"ein","value":"260805976"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1023095825,1154569382],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1134430770],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1659409241],"tin":{"type":"ein","value":"931126853"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700319381],"tin":{"type":"ein","value":"821113614"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1336653518],"tin":{"type":"ein","value":"830920228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912729898],"tin":{"type":"ein","value":"332564032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1821435827],"tin":{"type":"ein","value":"454607681"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437430246],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1972808723],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1679682439],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1972577195],"tin":{"type":"ein","value":"910862542"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1033203146],"tin":{"type":"ein","value":"820467723"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":8,"provider_groups":[{"npi":[1689601502],"tin":{"type":"ein","value":"810231787"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1194715219],"tin":{"type":"ein","value":"810512911"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437728037],"tin":{"type":"ein","value":"873714859"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1295779882],"tin":{"type":"ein","value":"262295309"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1528316577],"tin":{"type":"ein","value":"371691370"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1225588924],"tin":{"type":"ein","value":"264433865"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1881697118],"tin":{"type":"ein","value":"820426249"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1194125351],"tin":{"type":"ein","value":"470964373"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1629310990],"tin":{"type":"ein","value":"843420234"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477645570],"tin":{"type":"ein","value":"900081433"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1548381064],"tin":{"type":"ein","value":"814759166"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1194256479],"tin":{"type":"ein","value":"870302621"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1285742338],"tin":{"type":"ein","value":"936002332"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740289024],"tin":{"type":"ein","value":"820523354"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1760745848],"tin":{"type":"ein","value":"931044853"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205924313],"tin":{"type":"ein","value":"930823489"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1548371891],"tin":{"type":"ein","value":"931280206"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205248960],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1659799732],"tin":{"type":"ein","value":"843261579"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1992448187],"tin":{"type":"ein","value":"820486392"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1528414083],"tin":{"type":"ein","value":"811026078"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1881004539],"tin":{"type":"ein","value":"911352172"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1770676447],"tin":{"type":"ein","value":"810536068"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1033503388],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1891734273],"tin":{"type":"ein","value":"911777788"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649754268],"tin":{"type":"ein","value":"930603212"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1104876820],"tin":{"type":"ein","value":"203562579"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1558316851],"tin":{"type":"ein","value":"202707671"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1992280747],"tin":{"type":"ein","value":"824111795"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669424354],"tin":{"type":"ein","value":"930281321"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205446135],"tin":{"type":"ein","value":"850949668"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740242452],"tin":{"type":"ein","value":"930386868"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1174014377],"tin":{"type":"ein","value":"161782917"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1942357355],"tin":{"type":"ein","value":"931329784"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831509926],"tin":{"type":"ein","value":"931280206"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1619445749],"tin":{"type":"ein","value":"823939985"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1609826270],"tin":{"type":"ein","value":"826000428"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1417956558],"tin":{"type":"ein","value":"943092446"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1508056482],"tin":{"type":"ein","value":"201514446"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1104878610],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396377016],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1255311106],"tin":{"type":"ein","value":"261100319"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1184882623],"tin":{"type":"ein","value":"271987430"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1073081881],"tin":{"type":"ein","value":"832042432"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922156140],"tin":{"type":"ein","value":"930549896"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1285664037],"tin":{"type":"ein","value":"930505325"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1598763716],"tin":{"type":"ein","value":"931292903"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1154569382,1972091700],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1215262738],"tin":{"type":"ein","value":"261780585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1265612543],"tin":{"type":"ein","value":"364617008"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1972091700],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1508040486],"tin":{"type":"ein","value":"930400952"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1447690102],"tin":{"type":"ein","value":"930386936"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669905550],"tin":{"type":"ein","value":"850812156"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1609223932],"tin":{"type":"ein","value":"208202094"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1952797243],"tin":{"type":"ein","value":"473071035"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1104700897],"tin":{"type":"ein","value":"843463861"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1124396544],"tin":{"type":"ein","value":"454030103"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497706055],"tin":{"type":"ein","value":"461478455"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740551985],"tin":{"type":"ein","value":"421403200"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912905100],"tin":{"type":"ein","value":"820466466"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578951158],"tin":{"type":"ein","value":"814665203"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1851885420],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1902579840],"tin":{"type":"ein","value":"871056879"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1780989244],"tin":{"type":"ein","value":"451799013"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1639675101],"tin":{"type":"ein","value":"203659481"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497707053],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1295707776],"tin":{"type":"ein","value":"331046615"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1467446195],"tin":{"type":"ein","value":"930505325"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1689888034],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1992999775],"tin":{"type":"ein","value":"203303351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1932747789],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1023588019],"tin":{"type":"ein","value":"824092108"}}],"network_name":["St Luke Navigator (PCP)"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740372648],"tin":{"type":"ein","value":"271213159"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1376767897],"tin":{"type":"ein","value":"274299544"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588674279],"tin":{"type":"ein","value":"201296836"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1073058731],"tin":{"type":"ein","value":"260325022"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740628023],"tin":{"type":"ein","value":"203276415"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1306926274],"tin":{"type":"ein","value":"397447486"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1932888542],"tin":{"type":"ein","value":"264402524"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1366977027],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1417820135],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1073946711],"tin":{"type":"ein","value":"843406462"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1275373334],"tin":{"type":"ein","value":"462239207"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1730454414],"tin":{"type":"ein","value":"453641149"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1811310618],"tin":{"type":"ein","value":"820733992"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1598925968],"tin":{"type":"ein","value":"843211319"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1144402066],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1336791771],"tin":{"type":"ein","value":"464814906"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":8,"provider_groups":[{"npi":[1114166337],"tin":{"type":"ein","value":"834450151"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1366867293],"tin":{"type":"ein","value":"830653082"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1225045370],"tin":{"type":"ein","value":"816001417"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1366719460],"tin":{"type":"ein","value":"872638041"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588692040],"tin":{"type":"ein","value":"931195726"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1851466643],"tin":{"type":"ein","value":"931319142"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740723477],"tin":{"type":"ein","value":"822458102"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1154361137],"tin":{"type":"ein","value":"930738493"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1467607614],"tin":{"type":"ein","value":"931269087"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1306875695],"tin":{"type":"ein","value":"581716970"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1679994966],"tin":{"type":"ein","value":"821930374"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1558015057],"tin":{"type":"ein","value":"916068143"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578552402],"tin":{"type":"ein","value":"930975147"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1679534705],"tin":{"type":"ein","value":"834387792"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1366449910],"tin":{"type":"ein","value":"931311609"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1962443176],"tin":{"type":"ein","value":"820514422"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437157823],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1255403622],"tin":{"type":"ein","value":"824866149"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"933416318"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1447561360],"tin":{"type":"ein","value":"810286525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1508040486],"tin":{"type":"ein","value":"930400952"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1841267531],"tin":{"type":"ein","value":"923528211"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1114738127],"tin":{"type":"ein","value":"853561004"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437203858],"tin":{"type":"ein","value":"931256155"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1861928111],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1063961951],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1013987460],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1336413459],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1538926365],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1285882431],"tin":{"type":"ein","value":"263258410"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1710358817],"tin":{"type":"ein","value":"823338970"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1407860745],"tin":{"type":"ein","value":"841401625"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912943978],"tin":{"type":"ein","value":"810286525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1851403265],"tin":{"type":"ein","value":"826001208"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1750986097],"tin":{"type":"ein","value":"881408224"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1639209182],"tin":{"type":"ein","value":"861758227"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1972864262],"tin":{"type":"ein","value":"851057600"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740370626],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164583373],"tin":{"type":"ein","value":"474717998"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1487821344],"tin":{"type":"ein","value":"930110095"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1891087300],"tin":{"type":"ein","value":"823920656"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1265576748],"tin":{"type":"ein","value":"931234347"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1861413452],"tin":{"type":"ein","value":"930848530"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1548797707],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1710349238],"tin":{"type":"ein","value":"844938631"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1295203370],"tin":{"type":"ein","value":"931236337"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1730407701],"tin":{"type":"ein","value":"272544802"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1619993953],"tin":{"type":"ein","value":"930674282"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1609826270],"tin":{"type":"ein","value":"826000428"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1952645285],"tin":{"type":"ein","value":"208930123"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1083602205],"tin":{"type":"ein","value":"473448483"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164102794],"tin":{"type":"ein","value":"473448483"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1124900915],"tin":{"type":"ein","value":"993563851"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700995883],"tin":{"type":"ein","value":"330057155"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1861496499],"tin":{"type":"ein","value":"930593249"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1780987818],"tin":{"type":"ein","value":"273543997"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578165445],"tin":{"type":"ein","value":"421611985"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1568292522],"tin":{"type":"ein","value":"911807266"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1609986108],"tin":{"type":"ein","value":"931285962"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1417287137],"tin":{"type":"ein","value":"271402985"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1619955978],"tin":{"type":"ein","value":"133757370"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437157823],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1255361168],"tin":{"type":"ein","value":"810532591"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1336149517],"tin":{"type":"ein","value":"934491454"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1003897646],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1285517268],"tin":{"type":"ein","value":"202995060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1548320435],"tin":{"type":"ein","value":"826004163"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1457446007],"tin":{"type":"ein","value":"742927135"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1891734000],"tin":{"type":"ein","value":"204687838"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1750053559],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1720039464],"tin":{"type":"ein","value":"810233746"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669531224],"tin":{"type":"ein","value":"810537171"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164835351],"tin":{"type":"ein","value":"332136631"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1750442505],"tin":{"type":"ein","value":"481276150"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1780230284],"tin":{"type":"ein","value":"871467466"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1851050298],"tin":{"type":"ein","value":"833775432"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1811927452],"tin":{"type":"ein","value":"810431871"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1093726796],"tin":{"type":"ein","value":"810493712"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1841507266],"tin":{"type":"ein","value":"800461691"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205823416],"tin":{"type":"ein","value":"421640098"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1144620295],"tin":{"type":"ein","value":"852863003"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1215167028],"tin":{"type":"ein","value":"451799013"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1265035158],"tin":{"type":"ein","value":"901188369"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1871566679],"tin":{"type":"ein","value":"820497771"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1073510277],"tin":{"type":"ein","value":"910564987"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1124029962],"tin":{"type":"ein","value":"810456691"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1841289659],"tin":{"type":"ein","value":"461992221"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1033182290],"tin":{"type":"ein","value":"841396628"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1336288968],"tin":{"type":"ein","value":"930774210"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1457418048],"tin":{"type":"ein","value":"931322505"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1467953364],"tin":{"type":"ein","value":"880575655"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1104394337],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1134178999],"tin":{"type":"ein","value":"916068143"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1417978164],"tin":{"type":"ein","value":"911943495"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1255839627],"tin":{"type":"ein","value":"991281820"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1215333406],"tin":{"type":"ein","value":"843211319"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1750362869],"tin":{"type":"ein","value":"680568557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649409723],"tin":{"type":"ein","value":"910845805"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1487959508],"tin":{"type":"ein","value":"992429769"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1003894957],"tin":{"type":"ein","value":"911589064"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437491214],"tin":{"type":"ein","value":"930804385"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"201060712"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1063552065],"tin":{"type":"ein","value":"200322931"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1003242173],"tin":{"type":"ein","value":"930611783"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1104394337,1104878610],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669708277],"tin":{"type":"ein","value":"200292246"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1598499188],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912228727],"tin":{"type":"ein","value":"271030968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1821126004],"tin":{"type":"ein","value":"810302870"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396471454],"tin":{"type":"ein","value":"901188369"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1457556367],"tin":{"type":"ein","value":"911770171"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1104890011],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1083656367],"tin":{"type":"ein","value":"930937095"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1356549927],"tin":{"type":"ein","value":"873493929"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1134100944],"tin":{"type":"ein","value":"931283592"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1386809028],"tin":{"type":"ein","value":"810512911"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1093451841],"tin":{"type":"ein","value":"882137025"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1790904225],"tin":{"type":"ein","value":"930391573"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1942680830],"tin":{"type":"ein","value":"843261579"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1871547760],"tin":{"type":"ein","value":"930425580"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1033375092],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164815122],"tin":{"type":"ein","value":"831354508"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1932150653],"tin":{"type":"ein","value":"953372911"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1346282852],"tin":{"type":"ein","value":"852655001"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588982607],"tin":{"type":"ein","value":"272398121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588674279],"tin":{"type":"ein","value":"201296836"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1144402066],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669964789],"tin":{"type":"ein","value":"208603729"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1982805271],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1225623853],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1154327997],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922381565],"tin":{"type":"ein","value":"834018063"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912223587],"tin":{"type":"ein","value":"474023572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1073687406],"tin":{"type":"ein","value":"810392231"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1013582501],"tin":{"type":"ein","value":"464856825"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":8,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1134502065],"tin":{"type":"ein","value":"201386476"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1053106039,1407345614],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1407898026],"tin":{"type":"ein","value":"930796322"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1194434993],"tin":{"type":"ein","value":"931201612"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1366867293],"tin":{"type":"ein","value":"830653082"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1730121401],"tin":{"type":"ein","value":"202447516"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1467528455],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1447608781],"tin":{"type":"ein","value":"931206728"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1891712980],"tin":{"type":"ein","value":"911216033"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":8,"provider_groups":[{"npi":[1346782117],"tin":{"type":"ein","value":"871512036"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922517820],"tin":{"type":"ein","value":"820486392"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1972027191],"tin":{"type":"ein","value":"263946191"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1215194964],"tin":{"type":"ein","value":"455552693"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1982849626],"tin":{"type":"ein","value":"820779609"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1689652265],"tin":{"type":"ein","value":"460848861"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1639160369],"tin":{"type":"ein","value":"931272735"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1023251253],"tin":{"type":"ein","value":"810544884"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164652319],"tin":{"type":"ein","value":"820226453"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1598112716],"tin":{"type":"ein","value":"711008379"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922160431],"tin":{"type":"ein","value":"810286525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1689275950],"tin":{"type":"ein","value":"932460107"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588982607],"tin":{"type":"ein","value":"272398121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1598236929],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1861789489],"tin":{"type":"ein","value":"870629690"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1285231225],"tin":{"type":"ein","value":"813889575"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1942753637],"tin":{"type":"ein","value":"812139227"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801644091],"tin":{"type":"ein","value":"463022572"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1144104696],"tin":{"type":"ein","value":"460792942"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669437497],"tin":{"type":"ein","value":"731677879"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1154563963],"tin":{"type":"ein","value":"820207116"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740946128],"tin":{"type":"ein","value":"851480915"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1619422342],"tin":{"type":"ein","value":"463125959"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1013212489,1144402066],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1154157386],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700495496],"tin":{"type":"ein","value":"851925698"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1760673933],"tin":{"type":"ein","value":"850822979"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437620358],"tin":{"type":"ein","value":"931215381"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1639373657],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Billings Clinic Specialist Type Providers"]},{"provider_group_id":8,"provider_groups":[{"npi":[1134302433,1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1275516593],"tin":{"type":"ein","value":"931330014"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1053719781],"tin":{"type":"ein","value":"923400624"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396074548],"tin":{"type":"ein","value":"810231792"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1003020066,1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1851497085],"tin":{"type":"ein","value":"930110095"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1629117668],"tin":{"type":"ein","value":"815427847"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1255650610],"tin":{"type":"ein","value":"850698549"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1003843343],"tin":{"type":"ein","value":"823920656"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1083958797],"tin":{"type":"ein","value":"844437722"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1114912102],"tin":{"type":"ein","value":"820506078"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649299033],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437157823],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1033712781],"tin":{"type":"ein","value":"862780324"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1104346964],"tin":{"type":"ein","value":"931776818"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1174012355],"tin":{"type":"ein","value":"911986054"}}],"network_name":["Voyager - OR PCP type","Voyager - WA PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1760836167],"tin":{"type":"ein","value":"721519467"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1427007632],"tin":{"type":"ein","value":"931190579"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1639245855],"tin":{"type":"ein","value":"930758523"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1023095825,1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1043360977],"tin":{"type":"ein","value":"930833050"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1972690923],"tin":{"type":"ein","value":"862030930"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1295037042],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477720399],"tin":{"type":"ein","value":"263299059"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1083763239],"tin":{"type":"ein","value":"931269087"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801897939],"tin":{"type":"ein","value":"942195249"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1851696942],"tin":{"type":"ein","value":"844068603"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1467093310],"tin":{"type":"ein","value":"993652927"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1811191265],"tin":{"type":"ein","value":"821186424"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1609438696],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578614798],"tin":{"type":"ein","value":"820536110"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810463482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1063427565],"tin":{"type":"ein","value":"463799343"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1619515194],"tin":{"type":"ein","value":"920819633"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1538240213],"tin":{"type":"ein","value":"233022811"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1104878610],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1013362862],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437157823],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437430246],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1326042078],"tin":{"type":"ein","value":"264230898"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1962411983],"tin":{"type":"ein","value":"205264557"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1598978280],"tin":{"type":"ein","value":"208592848"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1679514509],"tin":{"type":"ein","value":"223065319"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649350513],"tin":{"type":"ein","value":"203314586"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1154569382],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"930924275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1154488021],"tin":{"type":"ein","value":"930611911"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1952698201],"tin":{"type":"ein","value":"274412620"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1861950354],"tin":{"type":"ein","value":"843988171"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1184391740],"tin":{"type":"ein","value":"954836285"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1780695387],"tin":{"type":"ein","value":"810537026"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649350513],"tin":{"type":"ein","value":"203314586"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1487725511],"tin":{"type":"ein","value":"094540183"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1932685583],"tin":{"type":"ein","value":"830599028"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164520870],"tin":{"type":"ein","value":"273674492"}}],"network_name":["Navigator Individual - Specialist Type Providers"]},{"provider_group_id":8,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477698173],"tin":{"type":"ein","value":"922205910"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1346662160],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1144402066],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649785544],"tin":{"type":"ein","value":"841830829"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1073905758],"tin":{"type":"ein","value":"901145058"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1518074947],"tin":{"type":"ein","value":"810378200"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700170818],"tin":{"type":"ein","value":"833017792"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1679231773],"tin":{"type":"ein","value":"271502578"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831149269],"tin":{"type":"ein","value":"813953534"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1841214327],"tin":{"type":"ein","value":"930738493"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1295037042],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1366776841],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1508221094],"tin":{"type":"ein","value":"814872231"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1992844575],"tin":{"type":"ein","value":"461621786"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1356843361],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1659475663],"tin":{"type":"ein","value":"810454940"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1285748525],"tin":{"type":"ein","value":"931172143"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1134276025],"tin":{"type":"ein","value":"272083406"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1548241623],"tin":{"type":"ein","value":"912104493"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497511760],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1215309521],"tin":{"type":"ein","value":"930767714"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649389917],"tin":{"type":"ein","value":"870696803"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1760767818],"tin":{"type":"ein","value":"810529327"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1962537258],"tin":{"type":"ein","value":"931192220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1013179373],"tin":{"type":"ein","value":"881456667"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1972091700],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1851654891],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1386092435],"tin":{"type":"ein","value":"844582670"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1518713072],"tin":{"type":"ein","value":"992210303"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1285266825],"tin":{"type":"ein","value":"911352172"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1659157097],"tin":{"type":"ein","value":"932813074"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1811242555],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669736419],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1932298494],"tin":{"type":"ein","value":"931224672"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1356397533],"tin":{"type":"ein","value":"810350909"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1952409906],"tin":{"type":"ein","value":"810284364"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1346906575],"tin":{"type":"ein","value":"931019081"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1982097481],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1033165022],"tin":{"type":"ein","value":"301072617"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1881780179],"tin":{"type":"ein","value":"810510560"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1821096082],"tin":{"type":"ein","value":"826000431"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1174070049],"tin":{"type":"ein","value":"862395519"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1508073651],"tin":{"type":"ein","value":"912090442"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1730728536],"tin":{"type":"ein","value":"994938903"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1225544943],"tin":{"type":"ein","value":"862098580"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1376816603],"tin":{"type":"ein","value":"463264788"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831135474],"tin":{"type":"ein","value":"200572465"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497707053],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1326627787],"tin":{"type":"ein","value":"262343447"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922167725],"tin":{"type":"ein","value":"263336486"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1215950464],"tin":{"type":"ein","value":"262764832"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1124181987],"tin":{"type":"ein","value":"911806451"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1356393805],"tin":{"type":"ein","value":"911605622"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1992316251],"tin":{"type":"ein","value":"844303463"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1487129557],"tin":{"type":"ein","value":"883212804"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"931010278"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1104809946],"tin":{"type":"ein","value":"930855011"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1932504586],"tin":{"type":"ein","value":"911869945"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205018595],"tin":{"type":"ein","value":"810306157"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1235348285],"tin":{"type":"ein","value":"463125959"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1386977791],"tin":{"type":"ein","value":"810494674"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1720692007],"tin":{"type":"ein","value":"930604944"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1356528269],"tin":{"type":"ein","value":"911352172"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1528316577],"tin":{"type":"ein","value":"371691370"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1316600091],"tin":{"type":"ein","value":"931269087"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1467542050],"tin":{"type":"ein","value":"811366784"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669511606],"tin":{"type":"ein","value":"850698549"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1093782534],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245271477],"tin":{"type":"ein","value":"200750906"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1619998648],"tin":{"type":"ein","value":"200197438"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1225090954,1306334974],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922022425],"tin":{"type":"ein","value":"202354326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1235753815],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1659302289],"tin":{"type":"ein","value":"932689822"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437884665],"tin":{"type":"ein","value":"911352172"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1194364091],"tin":{"type":"ein","value":"850589915"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1760673933],"tin":{"type":"ein","value":"850822979"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1972690923],"tin":{"type":"ein","value":"862030930"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1881811974],"tin":{"type":"ein","value":"463125959"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1124029962],"tin":{"type":"ein","value":"810456691"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1730196288],"tin":{"type":"ein","value":"810231786"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1093726796],"tin":{"type":"ein","value":"810493712"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1023435591],"tin":{"type":"ein","value":"833120668"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1780221499],"tin":{"type":"ein","value":"843763112"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578125662],"tin":{"type":"ein","value":"842714498"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1821010752],"tin":{"type":"ein","value":"930992852"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1033199922],"tin":{"type":"ein","value":"820361262"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1992841043],"tin":{"type":"ein","value":"881078185"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700440849],"tin":{"type":"ein","value":"203659481"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1013952373],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1891145900],"tin":{"type":"ein","value":"473371040"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1710247739],"tin":{"type":"ein","value":"272333127"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1083645022],"tin":{"type":"ein","value":"930808743"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588982607],"tin":{"type":"ein","value":"272398121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1770930323],"tin":{"type":"ein","value":"711008379"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669005997],"tin":{"type":"ein","value":"830819201"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1932519089],"tin":{"type":"ein","value":"810331313"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1881096238],"tin":{"type":"ein","value":"910877393"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1235483728],"tin":{"type":"ein","value":"455209647"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"931327701"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1386790160],"tin":{"type":"ein","value":"930929338"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669413340],"tin":{"type":"ein","value":"273674492"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1295783017],"tin":{"type":"ein","value":"931149169"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1609972066],"tin":{"type":"ein","value":"931004699"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1043667850],"tin":{"type":"ein","value":"843763112"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1023317633],"tin":{"type":"ein","value":"863893513"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1861271629],"tin":{"type":"ein","value":"870838787"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1003872342],"tin":{"type":"ein","value":"870376400"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1710325758],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1093753360],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588809834],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922388255],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1083655997],"tin":{"type":"ein","value":"810232124"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700895752],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740588946],"tin":{"type":"ein","value":"330239910"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1609826270],"tin":{"type":"ein","value":"826000428"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669883682],"tin":{"type":"ein","value":"844379746"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396031878],"tin":{"type":"ein","value":"931161256"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1417531799],"tin":{"type":"ein","value":"871428699"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578140414],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1952554982],"tin":{"type":"ein","value":"816001343"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1033572839],"tin":{"type":"ein","value":"812799101"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1235447970],"tin":{"type":"ein","value":"273311774"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":8,"provider_groups":[{"npi":[1174073530],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1275522179],"tin":{"type":"ein","value":"930600146"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1124129242],"tin":{"type":"ein","value":"810542535"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1265892368],"tin":{"type":"ein","value":"271151666"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1356847834],"tin":{"type":"ein","value":"863165381"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1689431413],"tin":{"type":"ein","value":"810405434"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588041388],"tin":{"type":"ein","value":"462796848"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740370626],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1780748467],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1043817000],"tin":{"type":"ein","value":"203033510"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1811321201],"tin":{"type":"ein","value":"930611911"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1265420616],"tin":{"type":"ein","value":"820480153"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1346244043],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1023292950],"tin":{"type":"ein","value":"911718584"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1215001417],"tin":{"type":"ein","value":"862577701"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1609940576],"tin":{"type":"ein","value":"952667855"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1043667850],"tin":{"type":"ein","value":"843763112"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1104878610,1336413459],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578544342],"tin":{"type":"ein","value":"931160259"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205871050],"tin":{"type":"ein","value":"911836091"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1194364091],"tin":{"type":"ein","value":"850589915"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1336683440],"tin":{"type":"ein","value":"931331685"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1407981772],"tin":{"type":"ein","value":"920779668"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578125662],"tin":{"type":"ein","value":"842714498"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1992759427],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"936000575"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1255433520],"tin":{"type":"ein","value":"931315468"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912573965],"tin":{"type":"ein","value":"863920806"}}],"network_name":["Ambulance (AMB)","Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1346224391],"tin":{"type":"ein","value":"816016920"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1124769823],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1891085437],"tin":{"type":"ein","value":"930386780"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1598811176],"tin":{"type":"ein","value":"810503794"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1538462957],"tin":{"type":"ein","value":"900380178"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1417954173],"tin":{"type":"ein","value":"911585659"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1053485102],"tin":{"type":"ein","value":"952667855"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1902981558],"tin":{"type":"ein","value":"931305103"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1366510034],"tin":{"type":"ein","value":"931071868"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1003199712],"tin":{"type":"ein","value":"911083936"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477725794],"tin":{"type":"ein","value":"931161256"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1871800615],"tin":{"type":"ein","value":"832802775"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1770980401],"tin":{"type":"ein","value":"953372911"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1356811574],"tin":{"type":"ein","value":"475343977"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1023688744],"tin":{"type":"ein","value":"465125403"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1073946711],"tin":{"type":"ein","value":"454880182"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1225061963],"tin":{"type":"ein","value":"930391573"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1356689418],"tin":{"type":"ein","value":"922486775"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1043682842],"tin":{"type":"ein","value":"911352172"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1821375676],"tin":{"type":"ein","value":"930395591"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1003551425],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1518136308],"tin":{"type":"ein","value":"810236460"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1508105248],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922160431],"tin":{"type":"ein","value":"810286525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1417082546],"tin":{"type":"ein","value":"815455944"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1366931412],"tin":{"type":"ein","value":"882242068"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205344884],"tin":{"type":"ein","value":"263208398"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1861271629],"tin":{"type":"ein","value":"870838787"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1275130098],"tin":{"type":"ein","value":"844038145"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1598339392],"tin":{"type":"ein","value":"831039743"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1720713001],"tin":{"type":"ein","value":"883254526"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1407842313],"tin":{"type":"ein","value":"931297168"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1538146832],"tin":{"type":"ein","value":"851879337"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1881257111],"tin":{"type":"ein","value":"710900869"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1932156718],"tin":{"type":"ein","value":"814246044"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1972515211],"tin":{"type":"ein","value":"831851140"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396746954],"tin":{"type":"ein","value":"931127056"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1730236704],"tin":{"type":"ein","value":"880918611"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245085836],"tin":{"type":"ein","value":"882251783"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700929593],"tin":{"type":"ein","value":"930867459"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1679809396],"tin":{"type":"ein","value":"271283197"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1093166191],"tin":{"type":"ein","value":"273083641"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1013212489],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922388255],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1407421126],"tin":{"type":"ein","value":"200022831"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1679809396],"tin":{"type":"ein","value":"271283197"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1508592809],"tin":{"type":"ein","value":"991634151"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1295342426],"tin":{"type":"ein","value":"843379970"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1982820478],"tin":{"type":"ein","value":"810226415"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477720399],"tin":{"type":"ein","value":"263299059"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497742415],"tin":{"type":"ein","value":"862327525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588663827],"tin":{"type":"ein","value":"810421823"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1174904049],"tin":{"type":"ein","value":"450837040"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1407870090],"tin":{"type":"ein","value":"943122268"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1457860389],"tin":{"type":"ein","value":"202077583"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1083928683],"tin":{"type":"ein","value":"930593725"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801931977],"tin":{"type":"ein","value":"361684106"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1942388830],"tin":{"type":"ein","value":"831179762"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437218856],"tin":{"type":"ein","value":"882946955"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1720156482],"tin":{"type":"ein","value":"931194986"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1750053559],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1386100535],"tin":{"type":"ein","value":"844737930"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1053988857],"tin":{"type":"ein","value":"680511559"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437655255],"tin":{"type":"ein","value":"863165381"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477676005],"tin":{"type":"ein","value":"816001383"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700107596],"tin":{"type":"ein","value":"473202795"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700181138],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1114352333],"tin":{"type":"ein","value":"271361149"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1023484615],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1184882623],"tin":{"type":"ein","value":"271987430"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1306241351],"tin":{"type":"ein","value":"472026764"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1386977791],"tin":{"type":"ein","value":"810494674"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1982091930],"tin":{"type":"ein","value":"812483692"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1417686684],"tin":{"type":"ein","value":"814665203"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588653679],"tin":{"type":"ein","value":"810288768"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1407472657],"tin":{"type":"ein","value":"931249659"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1861637100],"tin":{"type":"ein","value":"463754045"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1982906194],"tin":{"type":"ein","value":"823239755"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245658210],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740275130],"tin":{"type":"ein","value":"621766695"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1871972224],"tin":{"type":"ein","value":"453951495"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1306875695],"tin":{"type":"ein","value":"581716970"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1023524121],"tin":{"type":"ein","value":"465513696"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1225169279],"tin":{"type":"ein","value":"202707510"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1386680650],"tin":{"type":"ein","value":"820297906"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1780687566],"tin":{"type":"ein","value":"931280206"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1871070599],"tin":{"type":"ein","value":"871396454"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1851113369],"tin":{"type":"ein","value":"931776818"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1295161743],"tin":{"type":"ein","value":"810247969"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1760026785],"tin":{"type":"ein","value":"930579722"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1063490290],"tin":{"type":"ein","value":"911674528"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1447280987],"tin":{"type":"ein","value":"931279544"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1174276364],"tin":{"type":"ein","value":"841859109"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1629007315],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1407860745],"tin":{"type":"ein","value":"841401625"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1720655665],"tin":{"type":"ein","value":"870835486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1205126794],"tin":{"type":"ein","value":"943170060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1720445380],"tin":{"type":"ein","value":"922205910"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1487620472],"tin":{"type":"ein","value":"931273946"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1962453134],"tin":{"type":"ein","value":"930391573"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1386651560],"tin":{"type":"ein","value":"931190579"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1407116338],"tin":{"type":"ein","value":"810522488"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1982963930],"tin":{"type":"ein","value":"352443822"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700188224],"tin":{"type":"ein","value":"911394965"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1770099020],"tin":{"type":"ein","value":"883193250"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1356874259],"tin":{"type":"ein","value":"916071384"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1508279621],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922388255],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1285982967],"tin":{"type":"ein","value":"301130347"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1699919639],"tin":{"type":"ein","value":"931013923"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1629310990],"tin":{"type":"ein","value":"843420234"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"930937095"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1275864993],"tin":{"type":"ein","value":"800943528"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1891941662],"tin":{"type":"ein","value":"816016152"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1629681697],"tin":{"type":"ein","value":"931776818"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1033192760],"tin":{"type":"ein","value":"831216717"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1942753637],"tin":{"type":"ein","value":"812139227"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1609989029],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1952698201],"tin":{"type":"ein","value":"274412620"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1255449013],"tin":{"type":"ein","value":"820497771"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1902193527],"tin":{"type":"ein","value":"930573822"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1215554068,1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912430349],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1235176579],"tin":{"type":"ein","value":"204748673"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700181138],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396907390],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578584611],"tin":{"type":"ein","value":"204425381"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1720223753],"tin":{"type":"ein","value":"931195549"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1235235029],"tin":{"type":"ein","value":"931013923"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497281018],"tin":{"type":"ein","value":"874401463"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922167725],"tin":{"type":"ein","value":"263336486"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1134371503],"tin":{"type":"ein","value":"922486775"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1851914618],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1326752718],"tin":{"type":"ein","value":"271151666"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1467774109],"tin":{"type":"ein","value":"911020139"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831149269],"tin":{"type":"ein","value":"813953534"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1861645087],"tin":{"type":"ein","value":"901188369"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649325580],"tin":{"type":"ein","value":"452738860"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1710325675],"tin":{"type":"ein","value":"853388179"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1497851893],"tin":{"type":"ein","value":"931234805"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1447535547],"tin":{"type":"ein","value":"453558981"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1376182006],"tin":{"type":"ein","value":"462239207"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1659340370],"tin":{"type":"ein","value":"930508781"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1043503659],"tin":{"type":"ein","value":"842401202"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1881729945],"tin":{"type":"ein","value":"821364664"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669531224],"tin":{"type":"ein","value":"810537171"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1770519902],"tin":{"type":"ein","value":"930386936"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396074548],"tin":{"type":"ein","value":"810231792"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1992752364],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1760750319],"tin":{"type":"ein","value":"872559579"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1689771388],"tin":{"type":"ein","value":"421635970"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1790049435],"tin":{"type":"ein","value":"461991964"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1588967608],"tin":{"type":"ein","value":"465266098"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1811257918],"tin":{"type":"ein","value":"454985415"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1336714997],"tin":{"type":"ein","value":"923927139"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1699228403],"tin":{"type":"ein","value":"300794492"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1952554982],"tin":{"type":"ein","value":"816001343"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1255362851],"tin":{"type":"ein","value":"810243720"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437108974],"tin":{"type":"ein","value":"826001347"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1992747570],"tin":{"type":"ein","value":"826001347"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578632527],"tin":{"type":"ein","value":"134311436"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1013362862],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700846284],"tin":{"type":"ein","value":"812179128"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1952658577],"tin":{"type":"ein","value":"460713203"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1417983628],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1184783094],"tin":{"type":"ein","value":"141910165"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1215262738],"tin":{"type":"ein","value":"261780585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1326279464],"tin":{"type":"ein","value":"931013923"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1174671044],"tin":{"type":"ein","value":"930110095"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578347589],"tin":{"type":"ein","value":"930743012"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1164102794],"tin":{"type":"ein","value":"473448483"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1871804369],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1417927997],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245482280],"tin":{"type":"ein","value":"263548852"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1619309333],"tin":{"type":"ein","value":"811026078"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1346710340],"tin":{"type":"ein","value":"832041771"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1336179746],"tin":{"type":"ein","value":"930801427"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1649365271],"tin":{"type":"ein","value":"204696843"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831709567],"tin":{"type":"ein","value":"844611368"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1609068899],"tin":{"type":"ein","value":"911732955"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1194827451],"tin":{"type":"ein","value":"810405434"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1881659605],"tin":{"type":"ein","value":"931013923"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669837449],"tin":{"type":"ein","value":"474169185"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1033384847,1497011662],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1619307261],"tin":{"type":"ein","value":"951519327"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1063018786],"tin":{"type":"ein","value":"862327525"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1578559894],"tin":{"type":"ein","value":"043758214"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1881697118],"tin":{"type":"ein","value":"820426249"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740931021],"tin":{"type":"ein","value":"862395519"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1811131477],"tin":{"type":"ein","value":"916000960"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1881822757],"tin":{"type":"ein","value":"843205747"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1326596727],"tin":{"type":"ein","value":"516783295"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1245962307],"tin":{"type":"ein","value":"930635514"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1669883682],"tin":{"type":"ein","value":"844379746"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1285664037],"tin":{"type":"ein","value":"930505325"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1326079609,1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700181138],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1346542503],"tin":{"type":"ein","value":"832046264"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1700495496],"tin":{"type":"ein","value":"851925698"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1154317402],"tin":{"type":"ein","value":"930896811"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1598874232],"tin":{"type":"ein","value":"810373589"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1750824546],"tin":{"type":"ein","value":"814402637"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1043503956],"tin":{"type":"ein","value":"851530107"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1326718990],"tin":{"type":"ein","value":"921897083"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1306577648],"tin":{"type":"ein","value":"842013154"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1073817714],"tin":{"type":"ein","value":"930430029"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1124557715],"tin":{"type":"ein","value":"842401202"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1134227101],"tin":{"type":"ein","value":"113835604"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1730564378],"tin":{"type":"ein","value":"912090581"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"931327701"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1942308473],"tin":{"type":"ein","value":"931086169"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831640317],"tin":{"type":"ein","value":"930508781"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1922022425],"tin":{"type":"ein","value":"202354326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1912240128],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":8,"provider_groups":[{"npi":[1992238091],"tin":{"type":"ein","value":"813572126"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1598707986],"tin":{"type":"ein","value":"931014705"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1790803369],"tin":{"type":"ein","value":"810269223"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":8,"provider_groups":[{"npi":[1740921576],"tin":{"type":"ein","value":"931215381"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":8,"provider_groups":[{"npi":[1982376141],"tin":{"type":"ein","value":"922578164"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1295176923],"tin":{"type":"ein","value":"870695702"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346224391],"tin":{"type":"ein","value":"816016920"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1821435827],"tin":{"type":"ein","value":"454607681"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649628553],"tin":{"type":"ein","value":"923490040"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1295164044],"tin":{"type":"ein","value":"465392617"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1023562147],"tin":{"type":"ein","value":"813471205"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1508806191],"tin":{"type":"ein","value":"271130874"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588090948],"tin":{"type":"ein","value":"271369141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093726796],"tin":{"type":"ein","value":"810493712"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1902569320],"tin":{"type":"ein","value":"371840416"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1073062352],"tin":{"type":"ein","value":"844437722"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1235454273],"tin":{"type":"ein","value":"271239293"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1447232434],"tin":{"type":"ein","value":"931042574"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1447245857],"tin":{"type":"ein","value":"810398400"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1942590583],"tin":{"type":"ein","value":"842726601"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1992276448],"tin":{"type":"ein","value":"821215752"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1154945921],"tin":{"type":"ein","value":"843703860"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1871275081],"tin":{"type":"ein","value":"840611484"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1538926365],"tin":{"type":"ein","value":"260650218"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1972646271],"tin":{"type":"ein","value":"824363900"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1477072841],"tin":{"type":"ein","value":"852996616"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1699228403],"tin":{"type":"ein","value":"300794492"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588637151],"tin":{"type":"ein","value":"203926936"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1518352350],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1407265465],"tin":{"type":"ein","value":"810350909"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"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":6,"provider_groups":[{"npi":[1750614046],"tin":{"type":"ein","value":"273252563"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1821126004],"tin":{"type":"ein","value":"810302870"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1215216536],"tin":{"type":"ein","value":"822190803"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1295895704],"tin":{"type":"ein","value":"911352172"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1629119086],"tin":{"type":"ein","value":"204333803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225105919],"tin":{"type":"ein","value":"816001366"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1013990092],"tin":{"type":"ein","value":"473237675"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184017451],"tin":{"type":"ein","value":"851220143"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205970886],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063456895],"tin":{"type":"ein","value":"271677679"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831709567],"tin":{"type":"ein","value":"844611368"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1477538155],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093725780],"tin":{"type":"ein","value":"141892738"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1356366231],"tin":{"type":"ein","value":"810482444"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1356545602],"tin":{"type":"ein","value":"273175207"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1568187979],"tin":{"type":"ein","value":"842780292"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750423679],"tin":{"type":"ein","value":"810368698"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619149960],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1497307862],"tin":{"type":"ein","value":"237169042"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1336125533],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790909786],"tin":{"type":"ein","value":"208641171"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1689719718],"tin":{"type":"ein","value":"816016152"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063581247],"tin":{"type":"ein","value":"911791260"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1841275211],"tin":{"type":"ein","value":"810513385"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750386256],"tin":{"type":"ein","value":"810593962"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1689179350],"tin":{"type":"ein","value":"273882339"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1407378532],"tin":{"type":"ein","value":"452994912"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659639409],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063552065],"tin":{"type":"ein","value":"200322931"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1811242555],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346870144],"tin":{"type":"ein","value":"844303463"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801066139],"tin":{"type":"ein","value":"814849012"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275531865],"tin":{"type":"ein","value":"431178031"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1568777282],"tin":{"type":"ein","value":"810141660"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1821607490],"tin":{"type":"ein","value":"844288427"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1629253711],"tin":{"type":"ein","value":"261421147"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1902372923],"tin":{"type":"ein","value":"332629431"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1962464222],"tin":{"type":"ein","value":"262232572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1760406128],"tin":{"type":"ein","value":"030531391"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346510161],"tin":{"type":"ein","value":"559840442"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1497706055],"tin":{"type":"ein","value":"461478455"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1518490424],"tin":{"type":"ein","value":"810286525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205933959],"tin":{"type":"ein","value":"475058612"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346642899],"tin":{"type":"ein","value":"611744940"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669461703],"tin":{"type":"ein","value":"810232406"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1811978356],"tin":{"type":"ein","value":"900082030"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1265497846],"tin":{"type":"ein","value":"820300537"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1780274373],"tin":{"type":"ein","value":"861518836"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1306496732],"tin":{"type":"ein","value":"544534760"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1548320435],"tin":{"type":"ein","value":"826004163"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1932635364],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1215654421],"tin":{"type":"ein","value":"816017655"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1740551985],"tin":{"type":"ein","value":"421403200"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831169317],"tin":{"type":"ein","value":"593406826"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346627551],"tin":{"type":"ein","value":"851140792"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1609880368],"tin":{"type":"ein","value":"800502750"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801897939],"tin":{"type":"ein","value":"942195249"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588674279],"tin":{"type":"ein","value":"201296836"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1073081881],"tin":{"type":"ein","value":"832042432"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1881787547],"tin":{"type":"ein","value":"911802758"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1033540802],"tin":{"type":"ein","value":"930386906"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639288426],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1114569282],"tin":{"type":"ein","value":"202388521"}}],"network_name":["Navigator - ID PCP Type","Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245658210],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386491967],"tin":{"type":"ein","value":"465446882"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003196718],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1760197990],"tin":{"type":"ein","value":"841809420"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1487830493],"tin":{"type":"ein","value":"916068143"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790387637],"tin":{"type":"ein","value":"810367074"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750764015],"tin":{"type":"ein","value":"474317444"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1427213693],"tin":{"type":"ein","value":"851137395"}}],"network_name":["St Luke Navigator (PCP)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1992276448],"tin":{"type":"ein","value":"911619200"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1932156718],"tin":{"type":"ein","value":"814246044"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275821746],"tin":{"type":"ein","value":"452437880"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1023032919],"tin":{"type":"ein","value":"930885091"}}],"network_name":["Oregon SmartHealth Tier 1 Network, PCP Provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1538267638],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1912990870],"tin":{"type":"ein","value":"270329498"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1700965449],"tin":{"type":"ein","value":"810509072"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1962750208],"tin":{"type":"ein","value":"936002286"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1902856248],"tin":{"type":"ein","value":"810513275"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1356089973],"tin":{"type":"ein","value":"880538990"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619324324],"tin":{"type":"ein","value":"820486392"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1780608216],"tin":{"type":"ein","value":"930386793"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1962042754],"tin":{"type":"ein","value":"844233932"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720870595],"tin":{"type":"ein","value":"261120919"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003916230],"tin":{"type":"ein","value":"300570179"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720655665],"tin":{"type":"ein","value":"870835486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750036174],"tin":{"type":"ein","value":"861271667"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659110013],"tin":{"type":"ein","value":"921897083"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720601115],"tin":{"type":"ein","value":"831191056"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750383451],"tin":{"type":"ein","value":"204989419"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1104309863],"tin":{"type":"ein","value":"461394330"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1518384825],"tin":{"type":"ein","value":"472369736"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1356308399],"tin":{"type":"ein","value":"411594648"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275515157],"tin":{"type":"ein","value":"364462300"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1356115935],"tin":{"type":"ein","value":"271502578"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1912386004],"tin":{"type":"ein","value":"474023572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1679797666],"tin":{"type":"ein","value":"731657690"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1922030261],"tin":{"type":"ein","value":"930591352"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1134311988],"tin":{"type":"ein","value":"260528775"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1912573965],"tin":{"type":"ein","value":"863920806"}}],"network_name":["Ambulance (AMB)","Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275628042],"tin":{"type":"ein","value":"301130347"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1760576714],"tin":{"type":"ein","value":"202995060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1407816481],"tin":{"type":"ein","value":"270329498"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144620295],"tin":{"type":"ein","value":"852863003"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649299033],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1811242555],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1073697504],"tin":{"type":"ein","value":"821878518"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1861554669],"tin":{"type":"ein","value":"270248036"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1679514509],"tin":{"type":"ein","value":"223065319"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1376632539],"tin":{"type":"ein","value":"200828987"}}],"network_name":["Navigator - WA Specialist Type","Voyager - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1174988828],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649901117],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1740372648],"tin":{"type":"ein","value":"271213159"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1689627135],"tin":{"type":"ein","value":"260456503"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1609046671],"tin":{"type":"ein","value":"261938641"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1922388255],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1982760625],"tin":{"type":"ein","value":"830676542"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1902372923],"tin":{"type":"ein","value":"332629431"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659761427],"tin":{"type":"ein","value":"363843543"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1043318736],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1518115195],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1306266515],"tin":{"type":"ein","value":"301288118"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649279183],"tin":{"type":"ein","value":"810247706"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750466983],"tin":{"type":"ein","value":"592852900"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1760489272],"tin":{"type":"ein","value":"810258933"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1295176923],"tin":{"type":"ein","value":"870695702"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1932710365],"tin":{"type":"ein","value":"873607274"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1912972258],"tin":{"type":"ein","value":"930619501"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1770930323],"tin":{"type":"ein","value":"711008379"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720713001],"tin":{"type":"ein","value":"883254526"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1770586794],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1881707552],"tin":{"type":"ein","value":"621658493"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1467225920],"tin":{"type":"ein","value":"463563235"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144297987],"tin":{"type":"ein","value":"810469886"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063531333],"tin":{"type":"ein","value":"834628390"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1134100944],"tin":{"type":"ein","value":"931283592"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1528058542],"tin":{"type":"ein","value":"872991187"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1982849626],"tin":{"type":"ein","value":"820779609"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1073905758],"tin":{"type":"ein","value":"901145058"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588041388],"tin":{"type":"ein","value":"462796848"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1124769823,1407345614],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1518198795],"tin":{"type":"ein","value":"810360391"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1881787547],"tin":{"type":"ein","value":"911802758"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184677981],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437535077],"tin":{"type":"ein","value":"562403209"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396581625],"tin":{"type":"ein","value":"873505345"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1891552162],"tin":{"type":"ein","value":"813229326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1336108315],"tin":{"type":"ein","value":"820388664"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1689985137],"tin":{"type":"ein","value":"833559107"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063552065],"tin":{"type":"ein","value":"200322931"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1023272077],"tin":{"type":"ein","value":"931062558"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396907390],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1215554068,1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1477101509],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437270097],"tin":{"type":"ein","value":"208143717"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205801172],"tin":{"type":"ein","value":"810484738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437320017],"tin":{"type":"ein","value":"930973443"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1891713533],"tin":{"type":"ein","value":"810384618"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1417990045],"tin":{"type":"ein","value":"930800713"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1770930323],"tin":{"type":"ein","value":"711008379"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1417310798],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1962516385],"tin":{"type":"ein","value":"820527954"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1700022308],"tin":{"type":"ein","value":"810240726"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1699850966],"tin":{"type":"ein","value":"916068143"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669462362],"tin":{"type":"ein","value":"820516012"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1023032588],"tin":{"type":"ein","value":"810231793"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437314580],"tin":{"type":"ein","value":"462243011"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1780274373],"tin":{"type":"ein","value":"861518836"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1194827451],"tin":{"type":"ein","value":"810405434"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1154426104],"tin":{"type":"ein","value":"820472265"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1477618353],"tin":{"type":"ein","value":"930386780"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1811009517],"tin":{"type":"ein","value":"753141675"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831709567],"tin":{"type":"ein","value":"844611368"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1538158415],"tin":{"type":"ein","value":"261459239"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1861950354],"tin":{"type":"ein","value":"843988171"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144297987],"tin":{"type":"ein","value":"810469886"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619592912],"tin":{"type":"ein","value":"043634356"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1538926365],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639236011],"tin":{"type":"ein","value":"202674252"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1528063062],"tin":{"type":"ein","value":"455549944"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1497733596],"tin":{"type":"ein","value":"453881886"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1447585393],"tin":{"type":"ein","value":"842251237"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1326138314],"tin":{"type":"ein","value":"936002303"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346486347],"tin":{"type":"ein","value":"911518728"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1710402516],"tin":{"type":"ein","value":"264524039"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1316507437],"tin":{"type":"ein","value":"853813937"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144684895],"tin":{"type":"ein","value":"262188574"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1528186053],"tin":{"type":"ein","value":"269781495"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1740851062],"tin":{"type":"ein","value":"851858889"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386682433],"tin":{"type":"ein","value":"810233746"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1912905100],"tin":{"type":"ein","value":"932258809"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1730290610],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063552065],"tin":{"type":"ein","value":"200322931"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659392983],"tin":{"type":"ein","value":"810232122"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1962979393],"tin":{"type":"ein","value":"881616376"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639288426],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator LEHP - OR Specialist Type (Exclude OHSU)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1457749475],"tin":{"type":"ein","value":"471655155"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225068505],"tin":{"type":"ein","value":"930641477"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639514094],"tin":{"type":"ein","value":"462349174"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1992756498],"tin":{"type":"ein","value":"203077657"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1154569382],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1285770958],"tin":{"type":"ein","value":"541646245"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275979171],"tin":{"type":"ein","value":"526931247"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1851056089],"tin":{"type":"ein","value":"273543997"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1912386004],"tin":{"type":"ein","value":"474023572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1851006282],"tin":{"type":"ein","value":"852370860"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1811621741],"tin":{"type":"ein","value":"810542541"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1255592838],"tin":{"type":"ein","value":"800758360"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1871016071],"tin":{"type":"ein","value":"611847517"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669712543],"tin":{"type":"ein","value":"463866951"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1023336146],"tin":{"type":"ein","value":"272398215"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720601115],"tin":{"type":"ein","value":"831191056"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1982963930],"tin":{"type":"ein","value":"352443822"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1467979443],"tin":{"type":"ein","value":"822606374"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1760452049],"tin":{"type":"ein","value":"810467602"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1154418101],"tin":{"type":"ein","value":"853448082"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1265556757],"tin":{"type":"ein","value":"810262019"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003170010],"tin":{"type":"ein","value":"371840416"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225643554],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205018595],"tin":{"type":"ein","value":"810306157"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1194256479],"tin":{"type":"ein","value":"870302621"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1811978356],"tin":{"type":"ein","value":"900082030"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275640518],"tin":{"type":"ein","value":"742927135"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1578510772],"tin":{"type":"ein","value":"930600146"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346870144],"tin":{"type":"ein","value":"844303463"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1760805030],"tin":{"type":"ein","value":"832567312"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1598000960],"tin":{"type":"ein","value":"930585814"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1538450135],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750349049],"tin":{"type":"ein","value":"810470135"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1952464448],"tin":{"type":"ein","value":"473824855"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1568751154],"tin":{"type":"ein","value":"823962056"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1851350086],"tin":{"type":"ein","value":"931213338"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386832442],"tin":{"type":"ein","value":"833775432"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346613429],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790891331],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750377115],"tin":{"type":"ein","value":"930386852"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1578714861],"tin":{"type":"ein","value":"912146629"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1295777274,1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Navigator - ID PCP Type","Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1902072572],"tin":{"type":"ein","value":"261948511"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720220171],"tin":{"type":"ein","value":"930623390"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1972537892],"tin":{"type":"ein","value":"462093543"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1235414384],"tin":{"type":"ein","value":"852333224"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1326697558],"tin":{"type":"ein","value":"842311184"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396581625],"tin":{"type":"ein","value":"873505345"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588181275],"tin":{"type":"ein","value":"822393658"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1306897491],"tin":{"type":"ein","value":"931305493"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1134430770],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1962836783],"tin":{"type":"ein","value":"463252946"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1952019523],"tin":{"type":"ein","value":"843763112"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750468286],"tin":{"type":"ein","value":"810529559"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1629056148],"tin":{"type":"ein","value":"823479171"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639450026],"tin":{"type":"ein","value":"902636195"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1932747789],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750346524],"tin":{"type":"ein","value":"820533342"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184373037],"tin":{"type":"ein","value":"911828806"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063531333],"tin":{"type":"ein","value":"834628390"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205250859],"tin":{"type":"ein","value":"843406462"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346627551],"tin":{"type":"ein","value":"851140792"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396977393],"tin":{"type":"ein","value":"270705907"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1609523166],"tin":{"type":"ein","value":"880884510"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1558015057],"tin":{"type":"ein","value":"916068143"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396377016],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1285472035],"tin":{"type":"ein","value":"208574909"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1902096936],"tin":{"type":"ein","value":"204215602"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1235129248],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164838991],"tin":{"type":"ein","value":"611563515"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003982935],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1477929776],"tin":{"type":"ein","value":"474580239"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1730454414],"tin":{"type":"ein","value":"453641149"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1477882025],"tin":{"type":"ein","value":"061642283"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1558982587],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1538462957],"tin":{"type":"ein","value":"900380178"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1952741571],"tin":{"type":"ein","value":"833025966"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245400209],"tin":{"type":"ein","value":"813713054"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1871269324],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1912765876],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1023032588],"tin":{"type":"ein","value":"810231793"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1033203146],"tin":{"type":"ein","value":"820467723"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1265084016],"tin":{"type":"ein","value":"815427847"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1699081083],"tin":{"type":"ein","value":"820207116"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1215030184],"tin":{"type":"ein","value":"820484173"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1417449810],"tin":{"type":"ein","value":"870838787"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1598836850],"tin":{"type":"ein","value":"261459239"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396766598],"tin":{"type":"ein","value":"363798756"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1265548184],"tin":{"type":"ein","value":"810456714"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1962484592],"tin":{"type":"ein","value":"264274557"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1033354865],"tin":{"type":"ein","value":"930622075"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1477088441],"tin":{"type":"ein","value":"810513275"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1255760815],"tin":{"type":"ein","value":"463852982"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801819842],"tin":{"type":"ein","value":"472706830"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1306875695],"tin":{"type":"ein","value":"581716970"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1851906895],"tin":{"type":"ein","value":"852687541"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093897712],"tin":{"type":"ein","value":"264524039"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1417287137],"tin":{"type":"ein","value":"271402985"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1730419730],"tin":{"type":"ein","value":"820399298"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1598775678],"tin":{"type":"ein","value":"742806835"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1376913301],"tin":{"type":"ein","value":"474319844"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831236991],"tin":{"type":"ein","value":"320298568"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1811954662],"tin":{"type":"ein","value":"411577266"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1730558255],"tin":{"type":"ein","value":"474943801"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1629520440],"tin":{"type":"ein","value":"465513696"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346353521],"tin":{"type":"ein","value":"810481082"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1730454414],"tin":{"type":"ein","value":"453641149"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1689936023],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1699810614],"tin":{"type":"ein","value":"541020801"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1861271629],"tin":{"type":"ein","value":"870838787"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346282035],"tin":{"type":"ein","value":"930645605"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1174795892],"tin":{"type":"ein","value":"910894931"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245657584],"tin":{"type":"ein","value":"464230784"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144598285],"tin":{"type":"ein","value":"811290942"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1700822756],"tin":{"type":"ein","value":"680496104"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1053827824],"tin":{"type":"ein","value":"823721910"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"721604592"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1104598598],"tin":{"type":"ein","value":"931201612"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1770586794],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1548659113],"tin":{"type":"ein","value":"810307814"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1497011662],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1104295864],"tin":{"type":"ein","value":"822848277"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1528244282],"tin":{"type":"ein","value":"911754065"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1568451151],"tin":{"type":"ein","value":"810515500"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1053523068],"tin":{"type":"ein","value":"931151976"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437546082],"tin":{"type":"ein","value":"471338694"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1215388145],"tin":{"type":"ein","value":"812711954"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1770586794],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225016561],"tin":{"type":"ein","value":"930593249"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1821121344],"tin":{"type":"ein","value":"930619501"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649276734],"tin":{"type":"ein","value":"930391614"}}],"network_name":["Oregon SmartHealth Tier 1 Network, PCP Provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1083304612],"tin":{"type":"ein","value":"921785143"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659383842],"tin":{"type":"ein","value":"832802775"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164412755],"tin":{"type":"ein","value":"261219605"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1053920744],"tin":{"type":"ein","value":"851925843"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1316022247],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750781225],"tin":{"type":"ein","value":"930742829"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1083655997],"tin":{"type":"ein","value":"481276150"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1477676005],"tin":{"type":"ein","value":"816001383"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669676193],"tin":{"type":"ein","value":"811829331"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1427146406],"tin":{"type":"ein","value":"810483340"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225700149],"tin":{"type":"ein","value":"475440324"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1477801322],"tin":{"type":"ein","value":"460737265"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1043503956],"tin":{"type":"ein","value":"851530107"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1922548783],"tin":{"type":"ein","value":"205648026"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1558729095],"tin":{"type":"ein","value":"095382990"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1578195285],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144402066],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1033384847],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1407222003],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386262905],"tin":{"type":"ein","value":"204799231"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1447982285],"tin":{"type":"ein","value":"205267490"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1710171657],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1730121401],"tin":{"type":"ein","value":"202447516"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1124769823],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386616332],"tin":{"type":"ein","value":"833149828"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659855443],"tin":{"type":"ein","value":"830828084"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1033769435],"tin":{"type":"ein","value":"208784604"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1861748394],"tin":{"type":"ein","value":"473381070"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225060296],"tin":{"type":"ein","value":"911394965"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","St Luke (BrightPath)- Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1679696157],"tin":{"type":"ein","value":"770590285"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1154704377],"tin":{"type":"ein","value":"810467371"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1467704775],"tin":{"type":"ein","value":"841738403"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831236991],"tin":{"type":"ein","value":"320298568"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801862412],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1356689418],"tin":{"type":"ein","value":"810469886"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750362869],"tin":{"type":"ein","value":"680568557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1154562825],"tin":{"type":"ein","value":"465125403"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1023438538],"tin":{"type":"ein","value":"222862167"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750846986],"tin":{"type":"ein","value":"471502011"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619467149],"tin":{"type":"ein","value":"825420805"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720074909],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1962796920],"tin":{"type":"ein","value":"810231786"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619913944],"tin":{"type":"ein","value":"943287685"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1982205225],"tin":{"type":"ein","value":"273113428"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1871962951],"tin":{"type":"ein","value":"273083641"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1417519299],"tin":{"type":"ein","value":"562554975"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1356089973],"tin":{"type":"ein","value":"880538990"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1285932186],"tin":{"type":"ein","value":"271242692"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1174136725],"tin":{"type":"ein","value":"861797088"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1982133468],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1699729004],"tin":{"type":"ein","value":"810542541"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1851376669],"tin":{"type":"ein","value":"800035248"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1952930125],"tin":{"type":"ein","value":"874105244"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1679849640],"tin":{"type":"ein","value":"363843543"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1881729945],"tin":{"type":"ein","value":"821364664"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1740811033],"tin":{"type":"ein","value":"842877445"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1013114586],"tin":{"type":"ein","value":"911580684"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245658210],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1366867293],"tin":{"type":"ein","value":"830653082"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1982777033],"tin":{"type":"ein","value":"916001738"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1497742415],"tin":{"type":"ein","value":"862327525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720861255],"tin":{"type":"ein","value":"901188369"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1316680085],"tin":{"type":"ein","value":"930804385"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275864993],"tin":{"type":"ein","value":"800943528"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790719029],"tin":{"type":"ein","value":"592852900"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1215015763],"tin":{"type":"ein","value":"911830142"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1679783237],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669151213],"tin":{"type":"ein","value":"271361149"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1598076366],"tin":{"type":"ein","value":"611744940"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1255361168],"tin":{"type":"ein","value":"810532591"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1740843994],"tin":{"type":"ein","value":"481259581"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1255760815],"tin":{"type":"ein","value":"463852982"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1992830186],"tin":{"type":"ein","value":"930611638"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619988144],"tin":{"type":"ein","value":"820146328"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1891732905],"tin":{"type":"ein","value":"363525049"}}],"network_name":["St Luke (BrightPath)- Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063552065],"tin":{"type":"ein","value":"200322931"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225623853],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"223952223"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1770576340],"tin":{"type":"ein","value":"261485288"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346278835,1790798387],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1174051668],"tin":{"type":"ein","value":"821474020"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1609098110],"tin":{"type":"ein","value":"930505325"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164684742],"tin":{"type":"ein","value":"810364644"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1760499313],"tin":{"type":"ein","value":"810141660"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205887924],"tin":{"type":"ein","value":"810303913"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1194348508],"tin":{"type":"ein","value":"832417259"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1710946959],"tin":{"type":"ein","value":"931021801"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1932298494],"tin":{"type":"ein","value":"931224672"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801066139],"tin":{"type":"ein","value":"814849012"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225045370],"tin":{"type":"ein","value":"816001417"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1992745160],"tin":{"type":"ein","value":"743196505"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205823416],"tin":{"type":"ein","value":"421640098"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669447967],"tin":{"type":"ein","value":"810231787"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1255722997],"tin":{"type":"ein","value":"852961140"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205594082],"tin":{"type":"ein","value":"823962056"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1871901108],"tin":{"type":"ein","value":"264636862"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619313640],"tin":{"type":"ein","value":"883796666"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1730112103],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1700319381],"tin":{"type":"ein","value":"821113614"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386461739],"tin":{"type":"ein","value":"061642283"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275516718],"tin":{"type":"ein","value":"200671644"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1992759930],"tin":{"type":"ein","value":"200049792"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063552065],"tin":{"type":"ein","value":"200322931"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1528738028],"tin":{"type":"ein","value":"270175385"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669736419],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619515194],"tin":{"type":"ein","value":"920819633"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1558747576],"tin":{"type":"ein","value":"824215446"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1407116338],"tin":{"type":"ein","value":"810522488"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750342663],"tin":{"type":"ein","value":"810483340"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1902898729],"tin":{"type":"ein","value":"850880722"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1336790955],"tin":{"type":"ein","value":"820518631"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588027627],"tin":{"type":"ein","value":"461062769"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790205730],"tin":{"type":"ein","value":"810240726"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1770261406],"tin":{"type":"ein","value":"481290066"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1366874877],"tin":{"type":"ein","value":"562570686"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164627667],"tin":{"type":"ein","value":"680503101"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659383842],"tin":{"type":"ein","value":"832802775"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1174188403],"tin":{"type":"ein","value":"815455944"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1265796569],"tin":{"type":"ein","value":"930606316"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1811665367],"tin":{"type":"ein","value":"911020139"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1952409906],"tin":{"type":"ein","value":"810284364"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1740923465],"tin":{"type":"ein","value":"844068603"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1407345614],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1013212489,1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588031686],"tin":{"type":"ein","value":"461009805"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1427569722],"tin":{"type":"ein","value":"922772328"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437728037],"tin":{"type":"ein","value":"873714859"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093797839],"tin":{"type":"ein","value":"262188574"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1265782189],"tin":{"type":"ein","value":"453355785"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619917127],"tin":{"type":"ein","value":"462738911"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1295309474],"tin":{"type":"ein","value":"270288886"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1508035767],"tin":{"type":"ein","value":"931068858"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1548550726],"tin":{"type":"ein","value":"863777955"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1972913796],"tin":{"type":"ein","value":"810513275"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1902372923],"tin":{"type":"ein","value":"332629431"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1780274373],"tin":{"type":"ein","value":"861518836"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"900433062"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1861496804],"tin":{"type":"ein","value":"271021561"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1043903420],"tin":{"type":"ein","value":"931450532"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1568086379],"tin":{"type":"ein","value":"810401208"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1356881866],"tin":{"type":"ein","value":"611786393"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750423679],"tin":{"type":"ein","value":"810368698"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1174241764],"tin":{"type":"ein","value":"852996616"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1952491714],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1568440295],"tin":{"type":"ein","value":"823448311"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1841292307],"tin":{"type":"ein","value":"820226453"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1316022247],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1194857789],"tin":{"type":"ein","value":"220449618"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1598387631],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1154569382],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1154569382],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1881740496],"tin":{"type":"ein","value":"650816108"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","St Luke (BrightPath)- Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801232301],"tin":{"type":"ein","value":"272251833"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1295309474],"tin":{"type":"ein","value":"270288886"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225585532],"tin":{"type":"ein","value":"810221486"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1881729945],"tin":{"type":"ein","value":"821364664"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1043569437],"tin":{"type":"ein","value":"922826391"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659383842],"tin":{"type":"ein","value":"832802775"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1902245145],"tin":{"type":"ein","value":"812164710"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1851599849],"tin":{"type":"ein","value":"621766695"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184957656],"tin":{"type":"ein","value":"930605174"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205130473],"tin":{"type":"ein","value":"262916543"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1427476225],"tin":{"type":"ein","value":"260002031"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720751472],"tin":{"type":"ein","value":"922867300"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275920373],"tin":{"type":"ein","value":"810232122"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1083844401],"tin":{"type":"ein","value":"263634042"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1699918045],"tin":{"type":"ein","value":"821493906"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1447671755],"tin":{"type":"ein","value":"810255832"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790896470],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1689771388],"tin":{"type":"ein","value":"421635970"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1952355935],"tin":{"type":"ein","value":"820436622"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1366751638],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225169279],"tin":{"type":"ein","value":"202707510"}}],"network_name":["Voyager - WA Specialist Type","PacificSource Statewide Network (PSN)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1104811207],"tin":{"type":"ein","value":"911784789"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1255812020],"tin":{"type":"ein","value":"814281281"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386636355],"tin":{"type":"ein","value":"271790052"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1477954204],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Ambulance (AMB)","Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801221692],"tin":{"type":"ein","value":"930604944"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1083645022],"tin":{"type":"ein","value":"930808743"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1487129524],"tin":{"type":"ein","value":"475440324"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437770161],"tin":{"type":"ein","value":"874650553"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1023165115],"tin":{"type":"ein","value":"853813937"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1932519089],"tin":{"type":"ein","value":"810331313"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720601115],"tin":{"type":"ein","value":"831191056"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245455179],"tin":{"type":"ein","value":"931324873"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1134966815],"tin":{"type":"ein","value":"853561004"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1740719871],"tin":{"type":"ein","value":"821916339"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346352515],"tin":{"type":"ein","value":"030560254"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1053920744],"tin":{"type":"ein","value":"851925843"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619900370],"tin":{"type":"ein","value":"930505011"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1689423147],"tin":{"type":"ein","value":"821215752"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659639409],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1295380624],"tin":{"type":"ein","value":"851997546"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1578552402],"tin":{"type":"ein","value":"930975147"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1316965346],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1871016071],"tin":{"type":"ein","value":"611847517"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1194785154],"tin":{"type":"ein","value":"810233121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1982140075],"tin":{"type":"ein","value":"810364644"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1407981772],"tin":{"type":"ein","value":"920779668"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750986097],"tin":{"type":"ein","value":"881408224"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396226056],"tin":{"type":"ein","value":"820609978"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1740285667],"tin":{"type":"ein","value":"930891193"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1821273087],"tin":{"type":"ein","value":"931265020"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1942388830],"tin":{"type":"ein","value":"831179762"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1043547383],"tin":{"type":"ein","value":"611430438"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1861556284],"tin":{"type":"ein","value":"922772328"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1881659605],"tin":{"type":"ein","value":"931013923"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1013952373],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003362617],"tin":{"type":"ein","value":"934180267"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275584997],"tin":{"type":"ein","value":"826041596"}}],"network_name":["Voyager - OR Specialist Type","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225016561],"tin":{"type":"ein","value":"930593249"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144402066],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1518384825],"tin":{"type":"ein","value":"472369736"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1629253711],"tin":{"type":"ein","value":"261421147"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801224795],"tin":{"type":"ein","value":"451799013"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1689756249],"tin":{"type":"ein","value":"853739093"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1811053283],"tin":{"type":"ein","value":"831708803"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1417384082],"tin":{"type":"ein","value":"815388294"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1992746432],"tin":{"type":"ein","value":"883294375"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003479171],"tin":{"type":"ein","value":"863190906"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1689193120],"tin":{"type":"ein","value":"611756375"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1598794414],"tin":{"type":"ein","value":"753049885"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063475259],"tin":{"type":"ein","value":"576849001"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346337664],"tin":{"type":"ein","value":"810240726"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1285627620],"tin":{"type":"ein","value":"916000960"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669369252],"tin":{"type":"ein","value":"843379970"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205868817],"tin":{"type":"ein","value":"203980340"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619043783],"tin":{"type":"ein","value":"820480153"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1912641788],"tin":{"type":"ein","value":"842331435"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1073905758],"tin":{"type":"ein","value":"901145058"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659666923],"tin":{"type":"ein","value":"810339527"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1699146456],"tin":{"type":"ein","value":"474591265"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1922179068],"tin":{"type":"ein","value":"852370860"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396863965],"tin":{"type":"ein","value":"816001391"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1154569382],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164836862],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619913944],"tin":{"type":"ein","value":"943287685"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1972655264],"tin":{"type":"ein","value":"522387375"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1760767818],"tin":{"type":"ein","value":"810529327"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205446135],"tin":{"type":"ein","value":"850949668"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790786515],"tin":{"type":"ein","value":"823849705"}}],"network_name":["St Luke (BrightPath)- PCP type","Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1841241932],"tin":{"type":"ein","value":"931148588"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1689112443],"tin":{"type":"ein","value":"815384994"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144620295],"tin":{"type":"ein","value":"852863003"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275067928],"tin":{"type":"ein","value":"263494212"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659530442],"tin":{"type":"ein","value":"263946191"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1154343309],"tin":{"type":"ein","value":"155675546"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1699160184],"tin":{"type":"ein","value":"161782917"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1861802944],"tin":{"type":"ein","value":"911828806"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1609925023],"tin":{"type":"ein","value":"820380784"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346510161],"tin":{"type":"ein","value":"559840442"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1467093310],"tin":{"type":"ein","value":"993652927"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720028228],"tin":{"type":"ein","value":"261781103"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184782203],"tin":{"type":"ein","value":"710881667"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720435563],"tin":{"type":"ein","value":"463866951"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1740372648],"tin":{"type":"ein","value":"271213159"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1134117187],"tin":{"type":"ein","value":"911308575"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1770291924],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1457067134],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1255345823],"tin":{"type":"ein","value":"863165381"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1023336146],"tin":{"type":"ein","value":"272398215"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1215323464],"tin":{"type":"ein","value":"800000824"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1568116200],"tin":{"type":"ein","value":"850995860"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1356026140],"tin":{"type":"ein","value":"881615483"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1366751638],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346642899],"tin":{"type":"ein","value":"611744940"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1730132820],"tin":{"type":"ein","value":"911011434"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1033498415],"tin":{"type":"ein","value":"473371040"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1992049993],"tin":{"type":"ein","value":"841392819"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1861925778],"tin":{"type":"ein","value":"621766695"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619325016],"tin":{"type":"ein","value":"465587479"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1578195285],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Navigator - ID PCP Type","Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":6,"provider_groups":[{"npi":[1104824739],"tin":{"type":"ein","value":"260002031"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1366504532],"tin":{"type":"ein","value":"202333409"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346352515],"tin":{"type":"ein","value":"030560254"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1104878859],"tin":{"type":"ein","value":"911394965"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1689800666],"tin":{"type":"ein","value":"264349685"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1255760815],"tin":{"type":"ein","value":"463852982"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1598260267],"tin":{"type":"ein","value":"810243720"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1710248638],"tin":{"type":"ein","value":"465721324"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1992745160],"tin":{"type":"ein","value":"743196505"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659766004],"tin":{"type":"ein","value":"800000824"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1255826434],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1013602473],"tin":{"type":"ein","value":"200041748"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1376546291],"tin":{"type":"ein","value":"930569684"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1821435827],"tin":{"type":"ein","value":"454607681"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225402514],"tin":{"type":"ein","value":"810534672"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1023095825],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1952775710],"tin":{"type":"ein","value":"453558981"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1285082560],"tin":{"type":"ein","value":"352541657"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164437943],"tin":{"type":"ein","value":"680513045"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1851371959],"tin":{"type":"ein","value":"470917144"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1255736872],"tin":{"type":"ein","value":"450439149"}}],"network_name":["Montana PacificSource Network"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1528084399],"tin":{"type":"ein","value":"810475352"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1548390206],"tin":{"type":"ein","value":"931198503"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1689266785],"tin":{"type":"ein","value":"936002309"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1427382944],"tin":{"type":"ein","value":"911606533"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720589666],"tin":{"type":"ein","value":"851858889"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1861831356],"tin":{"type":"ein","value":"611744940"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063702769],"tin":{"type":"ein","value":"870838787"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1700204674],"tin":{"type":"ein","value":"931013923"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1174617500],"tin":{"type":"ein","value":"731650214"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1114023348],"tin":{"type":"ein","value":"912101530"}}],"network_name":["Voyager - OR PCP type","Voyager - WA PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063961951,1336413459],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003347386],"tin":{"type":"ein","value":"930421470"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1417596628],"tin":{"type":"ein","value":"823255983"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1699892091],"tin":{"type":"ein","value":"816001361"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1114166337],"tin":{"type":"ein","value":"834450151"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1730236704],"tin":{"type":"ein","value":"880918611"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1558825745],"tin":{"type":"ein","value":"823338970"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245085836],"tin":{"type":"ein","value":"882251783"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1013203348],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1487112108],"tin":{"type":"ein","value":"853248855"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063733293],"tin":{"type":"ein","value":"820750490"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1457453789],"tin":{"type":"ein","value":"922975300"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1053737221],"tin":{"type":"ein","value":"815344707"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1114373644],"tin":{"type":"ein","value":"810644697"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1720054554],"tin":{"type":"ein","value":"930584121"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1629310990],"tin":{"type":"ein","value":"843420234"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1851338263],"tin":{"type":"ein","value":"861150080"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1508279621],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164920419],"tin":{"type":"ein","value":"030531391"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396746954],"tin":{"type":"ein","value":"931127056"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1467465823],"tin":{"type":"ein","value":"813757821"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649628553],"tin":{"type":"ein","value":"823448953"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1770805673],"tin":{"type":"ein","value":"260475097"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669415964],"tin":{"type":"ein","value":"931302354"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"900433062"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649528886],"tin":{"type":"ein","value":"823219731"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1477859015],"tin":{"type":"ein","value":"830300467"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437345584],"tin":{"type":"ein","value":"810432169"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1356414395],"tin":{"type":"ein","value":"936002615"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1881828135],"tin":{"type":"ein","value":"264811143"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1881729945],"tin":{"type":"ein","value":"821364664"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1942411848],"tin":{"type":"ein","value":"832587632"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1306071006],"tin":{"type":"ein","value":"831360687"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1033354766],"tin":{"type":"ein","value":"931043066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1124400908],"tin":{"type":"ein","value":"473607888"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1265548184],"tin":{"type":"ein","value":"810456714"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063581247],"tin":{"type":"ein","value":"911791260"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1811164262],"tin":{"type":"ein","value":"931127856"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1265547939],"tin":{"type":"ein","value":"810475376"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1083655302],"tin":{"type":"ein","value":"463125959"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639659220],"tin":{"type":"ein","value":"874401463"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1124060694],"tin":{"type":"ein","value":"204974140"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1295777142],"tin":{"type":"ein","value":"272251833"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1609960228],"tin":{"type":"ein","value":"930613912"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1174520191],"tin":{"type":"ein","value":"931320547"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386611747],"tin":{"type":"ein","value":"816001410"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1881624302],"tin":{"type":"ein","value":"823663428"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1730597584],"tin":{"type":"ein","value":"931282946"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1285068023],"tin":{"type":"ein","value":"872960539"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790704393],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1073679288],"tin":{"type":"ein","value":"204448671"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144402066],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588674279],"tin":{"type":"ein","value":"201296836"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1992999775],"tin":{"type":"ein","value":"203303351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063511087],"tin":{"type":"ein","value":"843288564"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1124771951],"tin":{"type":"ein","value":"930583856"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063722866],"tin":{"type":"ein","value":"520136561"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790798387],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1053737221],"tin":{"type":"ein","value":"815344707"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1457591265],"tin":{"type":"ein","value":"581910859"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659468106],"tin":{"type":"ein","value":"261491885"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063657328],"tin":{"type":"ein","value":"810231793"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1710429956],"tin":{"type":"ein","value":"810360391"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1356549927],"tin":{"type":"ein","value":"873493929"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659761427],"tin":{"type":"ein","value":"363843543"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588777437],"tin":{"type":"ein","value":"742806835"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063581247],"tin":{"type":"ein","value":"911791260"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1679861637],"tin":{"type":"ein","value":"410682405"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1740551985],"tin":{"type":"ein","value":"421403200"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1730236704],"tin":{"type":"ein","value":"880918611"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225700149],"tin":{"type":"ein","value":"475440324"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1184718918],"tin":{"type":"ein","value":"810370945"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1306496732],"tin":{"type":"ein","value":"544534760"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144626342],"tin":{"type":"ein","value":"883182331"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1598236929],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1821083452],"tin":{"type":"ein","value":"810449515"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1285770958],"tin":{"type":"ein","value":"541646245"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1134799679],"tin":{"type":"ein","value":"274012525"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1154520906],"tin":{"type":"ein","value":"452792342"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1881828135],"tin":{"type":"ein","value":"264811143"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1760434385],"tin":{"type":"ein","value":"270591394"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1942790555],"tin":{"type":"ein","value":"825091882"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1942303011],"tin":{"type":"ein","value":"264520640"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1548528706],"tin":{"type":"ein","value":"412158924"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"752945833"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1851406888],"tin":{"type":"ein","value":"820527089"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1336108315],"tin":{"type":"ein","value":"820388664"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1225597305],"tin":{"type":"ein","value":"820399298"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"262011463"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"752945833"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1417449380],"tin":{"type":"ein","value":"333567518"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1063552065],"tin":{"type":"ein","value":"200322931"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1871952143],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588610398],"tin":{"type":"ein","value":"911605622"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1932752193],"tin":{"type":"ein","value":"843637533"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1538495106],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437458163],"tin":{"type":"ein","value":"462047089"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144402066,1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649299033],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588085336],"tin":{"type":"ein","value":"274646508"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205130473],"tin":{"type":"ein","value":"262916543"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750506069],"tin":{"type":"ein","value":"810303913"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1750732376],"tin":{"type":"ein","value":"816016152"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1093749756],"tin":{"type":"ein","value":"930583856"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1578584611],"tin":{"type":"ein","value":"204425381"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619988144],"tin":{"type":"ein","value":"820146328"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1447614896],"tin":{"type":"ein","value":"830300467"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1932154705],"tin":{"type":"ein","value":"562570686"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1053721258],"tin":{"type":"ein","value":"921281848"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1104342922],"tin":{"type":"ein","value":"371865858"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Billings Clinic Specialist Type Providers"]},{"provider_group_id":6,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1962042754],"tin":{"type":"ein","value":"844233932"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1972738532],"tin":{"type":"ein","value":"810406624"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1659666923],"tin":{"type":"ein","value":"810339527"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1992745160],"tin":{"type":"ein","value":"743196505"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1285399410],"tin":{"type":"ein","value":"862826028"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1336532860],"tin":{"type":"ein","value":"474263575"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1043664071],"tin":{"type":"ein","value":"454018150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1841308632],"tin":{"type":"ein","value":"851430172"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1376922047],"tin":{"type":"ein","value":"870629690"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1073879185],"tin":{"type":"ein","value":"843585922"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1568187979],"tin":{"type":"ein","value":"842780292"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1083715460],"tin":{"type":"ein","value":"132655001"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1023562147],"tin":{"type":"ein","value":"813471205"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1154426104],"tin":{"type":"ein","value":"820472265"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1851698781],"tin":{"type":"ein","value":"820200895"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1467856054],"tin":{"type":"ein","value":"471623501"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1790355204],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1740275130],"tin":{"type":"ein","value":"621766695"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275789190],"tin":{"type":"ein","value":"943342387"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1346782117],"tin":{"type":"ein","value":"871512036"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1669837449],"tin":{"type":"ein","value":"474169185"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1972690923],"tin":{"type":"ein","value":"862030930"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1255874491],"tin":{"type":"ein","value":"813693668"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1023095825],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1235852385],"tin":{"type":"ein","value":"852992300"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1205870326],"tin":{"type":"ein","value":"922486775"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1144620295],"tin":{"type":"ein","value":"852863003"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1619149960],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1972091700],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1548587702],"tin":{"type":"ein","value":"202077583"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1972113306],"tin":{"type":"ein","value":"936002332"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1912992900],"tin":{"type":"ein","value":"820506078"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":6,"provider_groups":[{"npi":[1861413452],"tin":{"type":"ein","value":"930848530"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1104064856],"tin":{"type":"ein","value":"810483340"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1558445239],"tin":{"type":"ein","value":"930992852"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1386616332],"tin":{"type":"ein","value":"833149828"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1447295712],"tin":{"type":"ein","value":"592852900"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":6,"provider_groups":[{"npi":[1366532376],"tin":{"type":"ein","value":"930642535"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1376034314],"tin":{"type":"ein","value":"933594158"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1275771610],"tin":{"type":"ein","value":"931160256"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":6,"provider_groups":[{"npi":[1013400795],"tin":{"type":"ein","value":"831829843"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831370741],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1710248638],"tin":{"type":"ein","value":"465721324"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1306163688],"tin":{"type":"ein","value":"463563235"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1861496804],"tin":{"type":"ein","value":"271021561"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1861637100],"tin":{"type":"ein","value":"463754045"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1316965346],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1912017278],"tin":{"type":"ein","value":"650737187"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1336519024],"tin":{"type":"ein","value":"474717998"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083703185],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457717159],"tin":{"type":"ein","value":"020601730"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1194349365],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1447426465],"tin":{"type":"ein","value":"262512237"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386610442],"tin":{"type":"ein","value":"421583605"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750386256],"tin":{"type":"ein","value":"810593962"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003190547],"tin":{"type":"ein","value":"453513499"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1912120817],"tin":{"type":"ein","value":"810302402"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386730893],"tin":{"type":"ein","value":"274299544"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346278835],"tin":{"type":"ein","value":"816016152"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1700107596],"tin":{"type":"ein","value":"473202795"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1073687406],"tin":{"type":"ein","value":"810392231"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1447306790],"tin":{"type":"ein","value":"454827853"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1902579840],"tin":{"type":"ein","value":"871056879"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386964146],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1053988857],"tin":{"type":"ein","value":"460792942"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1942716246],"tin":{"type":"ein","value":"810247969"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134208846],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1104824739],"tin":{"type":"ein","value":"260002031"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"113421228"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1538986336],"tin":{"type":"ein","value":"454415174"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1235210881],"tin":{"type":"ein","value":"462013125"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801841267],"tin":{"type":"ein","value":"202897489"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821069576],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1619575008],"tin":{"type":"ein","value":"481259581"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528037215],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528382058],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1013203504],"tin":{"type":"ein","value":"453558981"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1629056148],"tin":{"type":"ein","value":"473727922"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1235759432],"tin":{"type":"ein","value":"264274557"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1700107596],"tin":{"type":"ein","value":"473202795"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1265892368],"tin":{"type":"ein","value":"271151666"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1518912120],"tin":{"type":"ein","value":"810233746"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568950566],"tin":{"type":"ein","value":"261938641"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1043547383],"tin":{"type":"ein","value":"611430438"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790735561],"tin":{"type":"ein","value":"460485850"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1194029686],"tin":{"type":"ein","value":"471196928"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1962430116],"tin":{"type":"ein","value":"204870192"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114481447],"tin":{"type":"ein","value":"822576167"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1154618510],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1871682237],"tin":{"type":"ein","value":"203039118"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083703185,1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1215252408],"tin":{"type":"ein","value":"800595177"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1336119338],"tin":{"type":"ein","value":"810224734"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396032447],"tin":{"type":"ein","value":"383816505"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1124400908],"tin":{"type":"ein","value":"473607888"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1205470564],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1972646271],"tin":{"type":"ein","value":"824363900"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1558316851],"tin":{"type":"ein","value":"202707671"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1063500296],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023095825],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1770818569],"tin":{"type":"ein","value":"621681724"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851376669],"tin":{"type":"ein","value":"800035248"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497868814],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790073021],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1538518105],"tin":{"type":"ein","value":"474461509"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023686870],"tin":{"type":"ein","value":"204112169"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1073362463],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831556281],"tin":{"type":"ein","value":"203659481"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497844435,1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1679809396],"tin":{"type":"ein","value":"271283197"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1700641636],"tin":{"type":"ein","value":"261938641"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1376991521],"tin":{"type":"ein","value":"454827853"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457749475],"tin":{"type":"ein","value":"471655155"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386837367],"tin":{"type":"ein","value":"205016802"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023445327],"tin":{"type":"ein","value":"463780956"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568087427],"tin":{"type":"ein","value":"731631366"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750616249],"tin":{"type":"ein","value":"270996353"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134208846],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1912270547],"tin":{"type":"ein","value":"462259078"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1184634628],"tin":{"type":"ein","value":"450471748"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1508082892],"tin":{"type":"ein","value":"810306157"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659623494,1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457717159],"tin":{"type":"ein","value":"020601730"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649683244],"tin":{"type":"ein","value":"462163622"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821781931],"tin":{"type":"ein","value":"923885744"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699712182],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1932374808],"tin":{"type":"ein","value":"383849354"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134278682],"tin":{"type":"ein","value":"810513393"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1629782511],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Voyager - OR PCP type","Voyager - WA PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1609826270],"tin":{"type":"ein","value":"826000428"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659623494,1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821126004],"tin":{"type":"ein","value":"810302870"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851906895],"tin":{"type":"ein","value":"852687541"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1104700897],"tin":{"type":"ein","value":"843463861"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083703185],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1518273465],"tin":{"type":"ein","value":"273765851"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659542223],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1972091700],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1174759997],"tin":{"type":"ein","value":"474157091"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1306595954],"tin":{"type":"ein","value":"852370860"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1700107596],"tin":{"type":"ein","value":"473202795"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285000380],"tin":{"type":"ein","value":"452716222"}}],"network_name":["St Luke Navigator (PCP)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730129305],"tin":{"type":"ein","value":"810291695"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1376913301],"tin":{"type":"ein","value":"474319844"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285517268],"tin":{"type":"ein","value":"202995060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1992746432],"tin":{"type":"ein","value":"883294375"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790905164],"tin":{"type":"ein","value":"261485288"}}],"network_name":["Oregon SmartHealth Tier 1 Network, PCP Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821420571],"tin":{"type":"ein","value":"462617367"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346282852],"tin":{"type":"ein","value":"852655001"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659623494,1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1811242555],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1174759161],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659623494],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1609438696],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386091015],"tin":{"type":"ein","value":"263820269"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1205823416],"tin":{"type":"ein","value":"421640098"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1366867293],"tin":{"type":"ein","value":"830653082"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568974137],"tin":{"type":"ein","value":"463068729"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396032447],"tin":{"type":"ein","value":"383816505"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1629415229],"tin":{"type":"ein","value":"412158924"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1679939318],"tin":{"type":"ein","value":"475641623"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730558255],"tin":{"type":"ein","value":"474943801"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1679664122,1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1548626872],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1275203192],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720170756,1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285706481],"tin":{"type":"ein","value":"260531635"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528382058],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821420571],"tin":{"type":"ein","value":"462617367"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1154618510],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801841267],"tin":{"type":"ein","value":"202897489"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1215950464],"tin":{"type":"ein","value":"262764832"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497913008],"tin":{"type":"ein","value":"300336703"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1447982285],"tin":{"type":"ein","value":"205267490"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1548626872],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285706481],"tin":{"type":"ein","value":"260531635"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1689875833],"tin":{"type":"ein","value":"260167660"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1194983684],"tin":{"type":"ein","value":"461059985"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497775100],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1558784413],"tin":{"type":"ein","value":"204057606"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1366646887],"tin":{"type":"ein","value":"461415328"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1033498415],"tin":{"type":"ein","value":"208020226"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386837367],"tin":{"type":"ein","value":"205016802"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1194393314],"tin":{"type":"ein","value":"611916051"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346352515],"tin":{"type":"ein","value":"030560254"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1518273465],"tin":{"type":"ein","value":"273765851"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1235624446],"tin":{"type":"ein","value":"204112169"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1043398407],"tin":{"type":"ein","value":"204591376"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1174005235],"tin":{"type":"ein","value":"823089090"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1427399989],"tin":{"type":"ein","value":"820520642"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":3,"provider_groups":[{"npi":[1437398229],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1578632527],"tin":{"type":"ein","value":"134311436"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134145139],"tin":{"type":"ein","value":"202077583"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881636629],"tin":{"type":"ein","value":"203161362"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1922073907],"tin":{"type":"ein","value":"810385629"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720870595],"tin":{"type":"ein","value":"261120919"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083069488],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1487127692],"tin":{"type":"ein","value":"461228277"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134286289],"tin":{"type":"ein","value":"473371040"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1942590583],"tin":{"type":"ein","value":"262526662"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1073946711],"tin":{"type":"ein","value":"454880182"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720028228],"tin":{"type":"ein","value":"261781103"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1427780543],"tin":{"type":"ein","value":"464908851"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1952409906],"tin":{"type":"ein","value":"810284364"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1154520906],"tin":{"type":"ein","value":"452792342"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1447024583],"tin":{"type":"ein","value":"832040948"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134208846],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1558415422],"tin":{"type":"ein","value":"264520640"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1053369884,1790309573],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1033870407],"tin":{"type":"ein","value":"813432550"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639514094],"tin":{"type":"ein","value":"462349174"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1609887413],"tin":{"type":"ein","value":"263638838"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1972204980],"tin":{"type":"ein","value":"260656038"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1417609686],"tin":{"type":"ein","value":"371865858"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730511254],"tin":{"type":"ein","value":"562570686"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790784932],"tin":{"type":"ein","value":"810264548"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1477559383],"tin":{"type":"ein","value":"208702786"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1669837449],"tin":{"type":"ein","value":"474169185"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1467016873],"tin":{"type":"ein","value":"810467602"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659937266],"tin":{"type":"ein","value":"273674492"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1598573933],"tin":{"type":"ein","value":"141910165"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1871972224],"tin":{"type":"ein","value":"453951495"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1982700167],"tin":{"type":"ein","value":"810529600"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730129743,1790245439],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588013858],"tin":{"type":"ein","value":"930579541"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1982924593],"tin":{"type":"ein","value":"463805150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659891505],"tin":{"type":"ein","value":"821525906"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1043226178],"tin":{"type":"ein","value":"208020226"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003916230],"tin":{"type":"ein","value":"300570179"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649528977],"tin":{"type":"ein","value":"461843598"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1306854914],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023106655,1699845230,1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083844401],"tin":{"type":"ein","value":"263634042"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1609880368],"tin":{"type":"ein","value":"800502750"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1740289024],"tin":{"type":"ein","value":"820523354"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730655820,1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1487262077,1659623494],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1770797060],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730655820],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1487262077],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1104876820],"tin":{"type":"ein","value":"203562579"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1033712781],"tin":{"type":"ein","value":"862780324"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1174858732],"tin":{"type":"ein","value":"454527794"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568492486],"tin":{"type":"ein","value":"930425580"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1578188256],"tin":{"type":"ein","value":"463805150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1558735688],"tin":{"type":"ein","value":"810406624"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1033165022],"tin":{"type":"ein","value":"301072617"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1508035320],"tin":{"type":"ein","value":"431960221"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1205933959],"tin":{"type":"ein","value":"475058612"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1538472899],"tin":{"type":"ein","value":"300463194"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1336417005],"tin":{"type":"ein","value":"810232406"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023336146],"tin":{"type":"ein","value":"272398215"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457651531],"tin":{"type":"ein","value":"332927560"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1689771388],"tin":{"type":"ein","value":"421635970"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659475846],"tin":{"type":"ein","value":"810240726"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1669837449],"tin":{"type":"ein","value":"474169185"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639577125],"tin":{"type":"ein","value":"465266098"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356549406],"tin":{"type":"ein","value":"810226415"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659690535],"tin":{"type":"ein","value":"272506639"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1902990005],"tin":{"type":"ein","value":"810421823"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1174362776],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497754782],"tin":{"type":"ein","value":"810515463"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568087427],"tin":{"type":"ein","value":"731631366"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1538421094],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1295037042],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083844401],"tin":{"type":"ein","value":"263634042"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356115935],"tin":{"type":"ein","value":"271502578"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1932389814],"tin":{"type":"ein","value":"611684584"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1992918205],"tin":{"type":"ein","value":"753049885"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1770756439],"tin":{"type":"ein","value":"816001391"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1295779882],"tin":{"type":"ein","value":"262295309"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1538267638],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588460711],"tin":{"type":"ein","value":"810364644"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639115785],"tin":{"type":"ein","value":"202199518"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1962464222],"tin":{"type":"ein","value":"262232572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1669444733],"tin":{"type":"ein","value":"810347382"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093483406],"tin":{"type":"ein","value":"460792942"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1891732905],"tin":{"type":"ein","value":"363525049"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1215012448],"tin":{"type":"ein","value":"208397013"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1679664122],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346668050],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730129305],"tin":{"type":"ein","value":"810291695"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831370741],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator LEHP - OR PCP Type (Exclude OHSU)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1104824739],"tin":{"type":"ein","value":"260002031"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346870144],"tin":{"type":"ein","value":"844303463"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1578234068],"tin":{"type":"ein","value":"820290701"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":3,"provider_groups":[{"npi":[1518470343],"tin":{"type":"ein","value":"822243197"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1477593648],"tin":{"type":"ein","value":"465062444"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1932288412],"tin":{"type":"ein","value":"270170193"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851786453],"tin":{"type":"ein","value":"820226453"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750536868],"tin":{"type":"ein","value":"201367309"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083703185],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497733596],"tin":{"type":"ein","value":"453881886"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821030230],"tin":{"type":"ein","value":"461415328"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1275633844],"tin":{"type":"ein","value":"263820269"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851590400],"tin":{"type":"ein","value":"273383688"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588085336],"tin":{"type":"ein","value":"274646508"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831169317],"tin":{"type":"ein","value":"593406826"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497844435,1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1194384693],"tin":{"type":"ein","value":"474907515"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1447287388],"tin":{"type":"ein","value":"592852900"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730401217],"tin":{"type":"ein","value":"271976968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1124229372],"tin":{"type":"ein","value":"260167660"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003857624],"tin":{"type":"ein","value":"363771396"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386721637],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093521221],"tin":{"type":"ein","value":"562403209"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1598387631],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1811257918],"tin":{"type":"ein","value":"454985415"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114295482,1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1417285396],"tin":{"type":"ein","value":"271502578"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1861903460],"tin":{"type":"ein","value":"263494212"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1629258322],"tin":{"type":"ein","value":"273815236"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1467620609],"tin":{"type":"ein","value":"752752908"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1710358817],"tin":{"type":"ein","value":"823338970"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1922093293],"tin":{"type":"ein","value":"352210163"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1700846284],"tin":{"type":"ein","value":"812179128"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851518344],"tin":{"type":"ein","value":"474395496"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134208846,1770797060],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1063568152,1730110354],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1225003452],"tin":{"type":"ein","value":"272757885"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1437248358],"tin":{"type":"ein","value":"205218222"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1679351993],"tin":{"type":"ein","value":"811829331"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851483242],"tin":{"type":"ein","value":"421585350"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1669524732],"tin":{"type":"ein","value":"270329498"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1922558063],"tin":{"type":"ein","value":"462879338"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1508362518],"tin":{"type":"ein","value":"810232122"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285679878],"tin":{"type":"ein","value":"453263286"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1629224449],"tin":{"type":"ein","value":"260835445"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881899417],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1235624164],"tin":{"type":"ein","value":"811739859"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1679664122],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1306169198],"tin":{"type":"ein","value":"680208702"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1053369884],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639288426],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821171588],"tin":{"type":"ein","value":"203917534"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639123300],"tin":{"type":"ein","value":"272251833"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285882431],"tin":{"type":"ein","value":"263258410"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114113974],"tin":{"type":"ein","value":"810949239"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730607664],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1689423147],"tin":{"type":"ein","value":"821215752"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831592625],"tin":{"type":"ein","value":"455303800"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285622589],"tin":{"type":"ein","value":"470858718"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1982963930],"tin":{"type":"ein","value":"352443822"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396766598],"tin":{"type":"ein","value":"363798756"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1508181546],"tin":{"type":"ein","value":"204112169"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1932492972],"tin":{"type":"ein","value":"464707258"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821720608],"tin":{"type":"ein","value":"810348783"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1154157386],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588777437],"tin":{"type":"ein","value":"742806835"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699752709],"tin":{"type":"ein","value":"836000891"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659608172],"tin":{"type":"ein","value":"810350909"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821171588],"tin":{"type":"ein","value":"203917534"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1053827824],"tin":{"type":"ein","value":"823721910"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730121401],"tin":{"type":"ein","value":"202447516"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568960300],"tin":{"type":"ein","value":"821284814"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1922558063],"tin":{"type":"ein","value":"462879338"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1487009635],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457717159],"tin":{"type":"ein","value":"020601730"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1932218914],"tin":{"type":"ein","value":"010864547"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1205986403],"tin":{"type":"ein","value":"202100194"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801991682],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1073362463],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1760540579],"tin":{"type":"ein","value":"753197779"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1538926365],"tin":{"type":"ein","value":"260650218"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528186053],"tin":{"type":"ein","value":"269781495"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1871758847],"tin":{"type":"ein","value":"261636704"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1063500296],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134276025],"tin":{"type":"ein","value":"272083406"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1306907308],"tin":{"type":"ein","value":"810530457"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1063410421],"tin":{"type":"ein","value":"462810421"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1922388255],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134276025],"tin":{"type":"ein","value":"272083406"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1962484592],"tin":{"type":"ein","value":"264274557"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1982963930],"tin":{"type":"ein","value":"352443822"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1609992320],"tin":{"type":"ein","value":"564838256"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831564665],"tin":{"type":"ein","value":"472240524"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1962442087],"tin":{"type":"ein","value":"742927135"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1710334248],"tin":{"type":"ein","value":"471497384"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1427780543],"tin":{"type":"ein","value":"464908851"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1811949431],"tin":{"type":"ein","value":"826000428"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730558255],"tin":{"type":"ein","value":"474943801"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1053774620],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1689623761],"tin":{"type":"ein","value":"204562526"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720235955],"tin":{"type":"ein","value":"454527794"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831652569],"tin":{"type":"ein","value":"833084169"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851885420],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1922372747],"tin":{"type":"ein","value":"461048411"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285882431],"tin":{"type":"ein","value":"263258410"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1689623761],"tin":{"type":"ein","value":"204562526"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1255996518],"tin":{"type":"ein","value":"475659998"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1174722888],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1437270097],"tin":{"type":"ein","value":"208143717"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1407065956],"tin":{"type":"ein","value":"208049182"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1811951015],"tin":{"type":"ein","value":"270329498"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114218120],"tin":{"type":"ein","value":"383849354"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881685097],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1508806191],"tin":{"type":"ein","value":"271130874"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083665954],"tin":{"type":"ein","value":"273774591"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1013957372],"tin":{"type":"ein","value":"208603729"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1841742293],"tin":{"type":"ein","value":"471724918"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1609223932],"tin":{"type":"ein","value":"208202094"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649360777,1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346352515],"tin":{"type":"ein","value":"030560254"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1861217960],"tin":{"type":"ein","value":"460937592"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1275128860],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1487073573,1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1962547653],"tin":{"type":"ein","value":"810247889"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346353521],"tin":{"type":"ein","value":"810481082"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1205152576],"tin":{"type":"ein","value":"272358620"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730655820],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1144292590],"tin":{"type":"ein","value":"273454633"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1689800666],"tin":{"type":"ein","value":"264349685"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1043379274],"tin":{"type":"ein","value":"810391531"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1942566195],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1609523166],"tin":{"type":"ein","value":"880884510"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1154709087],"tin":{"type":"ein","value":"472206738"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1215421110],"tin":{"type":"ein","value":"481290066"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1619159563],"tin":{"type":"ein","value":"264274557"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114281284],"tin":{"type":"ein","value":"542124360"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457591166],"tin":{"type":"ein","value":"270333874"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1205100625],"tin":{"type":"ein","value":"861579683"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1417927997],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1255737789],"tin":{"type":"ein","value":"410682405"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1609548031],"tin":{"type":"ein","value":"874259089"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1992890164],"tin":{"type":"ein","value":"271369141"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831564665],"tin":{"type":"ein","value":"472240524"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1295066058],"tin":{"type":"ein","value":"815425760"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528037215],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083773337],"tin":{"type":"ein","value":"261286546"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699827477],"tin":{"type":"ein","value":"680637976"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1619175635],"tin":{"type":"ein","value":"813432550"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1871168708],"tin":{"type":"ein","value":"811349238"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346847779],"tin":{"type":"ein","value":"810365511"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1154418101],"tin":{"type":"ein","value":"853448082"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1295036085],"tin":{"type":"ein","value":"363843543"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1144019399],"tin":{"type":"ein","value":"464197680"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497775100],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1578501771],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1942922653],"tin":{"type":"ein","value":"352461752"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1609925171],"tin":{"type":"ein","value":"264404173"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114078102],"tin":{"type":"ein","value":"464355297"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245423367],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1174759161],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1487262077],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790309573],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1407345614],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1992099824],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1922022425],"tin":{"type":"ein","value":"202354326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1558316851],"tin":{"type":"ein","value":"202707671"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649360777],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1760827513],"tin":{"type":"ein","value":"200069475"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1619933264],"tin":{"type":"ein","value":"742462470"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093786782],"tin":{"type":"ein","value":"352230758"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1013061183],"tin":{"type":"ein","value":"810513538"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1144245085],"tin":{"type":"ein","value":"201386476"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1427554062],"tin":{"type":"ein","value":"471623501"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1871662817],"tin":{"type":"ein","value":"810243720"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003397878],"tin":{"type":"ein","value":"371881359"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083703185],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245482280],"tin":{"type":"ein","value":"263548852"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1780254409],"tin":{"type":"ein","value":"208460477"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457717159],"tin":{"type":"ein","value":"020601730"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1538518105],"tin":{"type":"ein","value":"474461509"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285623181],"tin":{"type":"ein","value":"208084188"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1689720435],"tin":{"type":"ein","value":"820313684"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1548320435],"tin":{"type":"ein","value":"826004163"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1275821746],"tin":{"type":"ein","value":"452437880"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003982935],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1710055504],"tin":{"type":"ein","value":"203806300"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1275203192],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1548400385],"tin":{"type":"ein","value":"261833462"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1811962103],"tin":{"type":"ein","value":"203802500"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1598236929],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831686740],"tin":{"type":"ein","value":"273674492"}}],"network_name":["Navigator Individual - Specialist Type Providers"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083655302],"tin":{"type":"ein","value":"463125959"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659031193],"tin":{"type":"ein","value":"844159440"}}],"network_name":["St Luke Navigator (PCP)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1598836850],"tin":{"type":"ein","value":"261459239"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1770805673],"tin":{"type":"ein","value":"260475097"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457396442],"tin":{"type":"ein","value":"823311245"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1679638472],"tin":{"type":"ein","value":"237169042"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750423679],"tin":{"type":"ein","value":"810368698"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1033236963],"tin":{"type":"ein","value":"810232406"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1174759161],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1770797060],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1295738375],"tin":{"type":"ein","value":"431980819"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285890681],"tin":{"type":"ein","value":"262527830"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1740223882],"tin":{"type":"ein","value":"810236460"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588802466],"tin":{"type":"ein","value":"205914560"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356733026],"tin":{"type":"ein","value":"275017250"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1760434385],"tin":{"type":"ein","value":"270591394"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699918045],"tin":{"type":"ein","value":"821493906"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1619042082],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730263617],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"621762552"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1598775678],"tin":{"type":"ein","value":"742806835"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1912223587],"tin":{"type":"ein","value":"474023572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1932258563],"tin":{"type":"ein","value":"930557803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1770930323],"tin":{"type":"ein","value":"711008379"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1104803691],"tin":{"type":"ein","value":"680503101"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1700142122],"tin":{"type":"ein","value":"743196505"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1942967294],"tin":{"type":"ein","value":"841424652"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497146534],"tin":{"type":"ein","value":"472430266"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790735561],"tin":{"type":"ein","value":"460485850"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023113545],"tin":{"type":"ein","value":"412158924"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1063568152],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1104394337],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851988604],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1487073573],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356573059],"tin":{"type":"ein","value":"203806300"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083614630],"tin":{"type":"ein","value":"204057606"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720521008],"tin":{"type":"ein","value":"412033709"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1952415051],"tin":{"type":"ein","value":"205267490"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1932288412],"tin":{"type":"ein","value":"364617008"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568607083],"tin":{"type":"ein","value":"812623691"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1508141656],"tin":{"type":"ein","value":"474400585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1205868965],"tin":{"type":"ein","value":"208202094"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457717159],"tin":{"type":"ein","value":"020601730"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1184720344],"tin":{"type":"ein","value":"203140657"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356536312],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639236011],"tin":{"type":"ein","value":"202674252"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1942248976],"tin":{"type":"ein","value":"475387665"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083269260],"tin":{"type":"ein","value":"473166973"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083069488],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1992147516],"tin":{"type":"ein","value":"262526662"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730263328],"tin":{"type":"ein","value":"432049549"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356308399],"tin":{"type":"ein","value":"411594648"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1073126686],"tin":{"type":"ein","value":"461228277"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497733596],"tin":{"type":"ein","value":"453881886"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1144626342],"tin":{"type":"ein","value":"271677679"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1861831356],"tin":{"type":"ein","value":"611744940"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1477877934],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1407843659],"tin":{"type":"ein","value":"742152396"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659475663],"tin":{"type":"ein","value":"810454940"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083807101],"tin":{"type":"ein","value":"260528775"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1265517312],"tin":{"type":"ein","value":"592852900"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1841405891],"tin":{"type":"ein","value":"810477745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1760540579],"tin":{"type":"ein","value":"753197779"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1467559518],"tin":{"type":"ein","value":"204112169"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1992798409],"tin":{"type":"ein","value":"820380784"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083341481],"tin":{"type":"ein","value":"473381070"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1447426465],"tin":{"type":"ein","value":"262512237"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831370741],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659623494],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1053369884],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1679664122,1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1215958921],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1174759161],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134476310],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023106655,1649360777],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1063975407],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1376552893],"tin":{"type":"ein","value":"816016016"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1144429648],"tin":{"type":"ein","value":"475058612"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1912424250],"tin":{"type":"ein","value":"371865858"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568143857],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659337335],"tin":{"type":"ein","value":"810666871"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821509134],"tin":{"type":"ein","value":"822120311"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649279183],"tin":{"type":"ein","value":"810247706"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1306926274],"tin":{"type":"ein","value":"397447486"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699854588],"tin":{"type":"ein","value":"592852900"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1326055427],"tin":{"type":"ein","value":"330057155"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1255760815],"tin":{"type":"ein","value":"463852982"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1033769435],"tin":{"type":"ein","value":"208784604"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1811045321],"tin":{"type":"ein","value":"810391207"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285679878],"tin":{"type":"ein","value":"453263286"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790387637],"tin":{"type":"ein","value":"823175924"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1912998261],"tin":{"type":"ein","value":"863190906"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134205198],"tin":{"type":"ein","value":"542124360"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1275025678],"tin":{"type":"ein","value":"392253428"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801873880],"tin":{"type":"ein","value":"272251833"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750160008],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1073679288],"tin":{"type":"ein","value":"204448671"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1932888542],"tin":{"type":"ein","value":"264402524"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1184788309],"tin":{"type":"ein","value":"810540504"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1922548783],"tin":{"type":"ein","value":"205648026"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1982991147],"tin":{"type":"ein","value":"260185656"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1700551546],"tin":{"type":"ein","value":"460828859"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1205902525],"tin":{"type":"ein","value":"203694369"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821607490],"tin":{"type":"ein","value":"844288427"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881005833],"tin":{"type":"ein","value":"450471748"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730454414],"tin":{"type":"ein","value":"453641149"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790905164],"tin":{"type":"ein","value":"261485288"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1144402066],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1780832725],"tin":{"type":"ein","value":"463252946"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457040396],"tin":{"type":"ein","value":"621400785"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1538548839],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1104878859],"tin":{"type":"ein","value":"911394965"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881821759],"tin":{"type":"ein","value":"451799013"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730401217],"tin":{"type":"ein","value":"271976968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1063475259],"tin":{"type":"ein","value":"576849001"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285068023],"tin":{"type":"ein","value":"872960539"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285621136],"tin":{"type":"ein","value":"820495165"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1861271629],"tin":{"type":"ein","value":"870838787"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750386256],"tin":{"type":"ein","value":"810593962"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699854257],"tin":{"type":"ein","value":"421583605"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1477992592],"tin":{"type":"ein","value":"300336703"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1144418922],"tin":{"type":"ein","value":"820516012"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881707552],"tin":{"type":"ein","value":"621658493"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":3,"provider_groups":[{"npi":[1205802998],"tin":{"type":"ein","value":"820497771"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588674279],"tin":{"type":"ein","value":"201296836"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083294250],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457717159],"tin":{"type":"ein","value":"020601730"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285650432,1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1184765448],"tin":{"type":"ein","value":"061799241"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1063702793],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1962411983],"tin":{"type":"ein","value":"205264557"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1861446064],"tin":{"type":"ein","value":"010708714"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1124229372],"tin":{"type":"ein","value":"260167660"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1932726015],"tin":{"type":"ein","value":"451083584"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1760836167],"tin":{"type":"ein","value":"721519467"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881758274],"tin":{"type":"ein","value":"820277763"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851483242],"tin":{"type":"ein","value":"421585350"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083703185,1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1275612707],"tin":{"type":"ein","value":"271151666"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528593225],"tin":{"type":"ein","value":"465318746"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750468286],"tin":{"type":"ein","value":"810529559"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1609523166],"tin":{"type":"ein","value":"880884510"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1629802632],"tin":{"type":"ein","value":"451802753"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023271459],"tin":{"type":"ein","value":"205575145"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114365889],"tin":{"type":"ein","value":"465266098"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1740515261],"tin":{"type":"ein","value":"270222729"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023114378],"tin":{"type":"ein","value":"203140657"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083773337],"tin":{"type":"ein","value":"261286546"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649628934],"tin":{"type":"ein","value":"475232006"}}],"network_name":["Montana PacificSource Network"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1679810519],"tin":{"type":"ein","value":"834107394"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720396286],"tin":{"type":"ein","value":"474907515"}}],"network_name":["Voyager - OR PCP type","Voyager - WA PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1508130774],"tin":{"type":"ein","value":"825474996"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1255496709],"tin":{"type":"ein","value":"260805976"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1912559238],"tin":{"type":"ein","value":"455560377"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356811574],"tin":{"type":"ein","value":"475343977"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245549690],"tin":{"type":"ein","value":"471196928"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699746305],"tin":{"type":"ein","value":"454182048"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1487262077],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831370741,1932766128],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831157916],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1265478499],"tin":{"type":"ein","value":"301288118"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356630420],"tin":{"type":"ein","value":"421583605"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1144104696],"tin":{"type":"ein","value":"460792942"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164412755],"tin":{"type":"ein","value":"261219605"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346532082],"tin":{"type":"ein","value":"753049885"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659615920],"tin":{"type":"ein","value":"463780956"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659542223],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1619325016],"tin":{"type":"ein","value":"465587479"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750468286],"tin":{"type":"ein","value":"810529559"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699228403],"tin":{"type":"ein","value":"300794492"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851669584],"tin":{"type":"ein","value":"453940402"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1073687406],"tin":{"type":"ein","value":"810392231"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083655997],"tin":{"type":"ein","value":"810232124"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164412755],"tin":{"type":"ein","value":"261219605"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730263328],"tin":{"type":"ein","value":"432049549"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1689771388],"tin":{"type":"ein","value":"421635970"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1215926985],"tin":{"type":"ein","value":"462487680"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1255781159],"tin":{"type":"ein","value":"812711898"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1316932114],"tin":{"type":"ein","value":"481307655"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1104466861],"tin":{"type":"ein","value":"883225122"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1902892391],"tin":{"type":"ein","value":"931279544"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1760861835],"tin":{"type":"ein","value":"473791728"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1467704775],"tin":{"type":"ein","value":"841738403"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1952977480],"tin":{"type":"ein","value":"862540138"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1235363573],"tin":{"type":"ein","value":"810398400"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396074548],"tin":{"type":"ein","value":"810231792"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1972902286],"tin":{"type":"ein","value":"460746544"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1902832926],"tin":{"type":"ein","value":"461062769"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750310173],"tin":{"type":"ein","value":"930386793"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1265497846],"tin":{"type":"ein","value":"820300537"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":3,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1669810339],"tin":{"type":"ein","value":"820277763"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1306926274],"tin":{"type":"ein","value":"397447486"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1700394558],"tin":{"type":"ein","value":"832071532"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730655820],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1972091700],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1487009635],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003982935],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1366872632],"tin":{"type":"ein","value":"264402524"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1952658577],"tin":{"type":"ein","value":"460713203"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1548659113],"tin":{"type":"ein","value":"810307814"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386491967],"tin":{"type":"ein","value":"465446882"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639725245],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1609862846],"tin":{"type":"ein","value":"474023572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851177331],"tin":{"type":"ein","value":"273882339"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1275515157],"tin":{"type":"ein","value":"364462300"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1407832868],"tin":{"type":"ein","value":"263946191"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1073897468],"tin":{"type":"ein","value":"474350731"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649325580],"tin":{"type":"ein","value":"452738860"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1184772600],"tin":{"type":"ein","value":"821215752"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083771802],"tin":{"type":"ein","value":"810425934"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1689936023],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588982607],"tin":{"type":"ein","value":"272398121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1215950464],"tin":{"type":"ein","value":"262764832"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639158645],"tin":{"type":"ein","value":"810510042"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1124287644],"tin":{"type":"ein","value":"461059985"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851669584],"tin":{"type":"ein","value":"453940402"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003110321],"tin":{"type":"ein","value":"474006939"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346276516],"tin":{"type":"ein","value":"272916539"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003982935],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1437370947],"tin":{"type":"ein","value":"471502011"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1841424108],"tin":{"type":"ein","value":"813268356"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386898435],"tin":{"type":"ein","value":"261819228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1295707776],"tin":{"type":"ein","value":"331046615"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1417435512],"tin":{"type":"ein","value":"810307814"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1538926365],"tin":{"type":"ein","value":"260650218"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1811978356],"tin":{"type":"ein","value":"900082030"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1518095728],"tin":{"type":"ein","value":"464707899"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821637646],"tin":{"type":"ein","value":"463107058"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1578584611],"tin":{"type":"ein","value":"204425381"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1538421094],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023079092],"tin":{"type":"ein","value":"203166880"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356811574],"tin":{"type":"ein","value":"475343977"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720870595],"tin":{"type":"ein","value":"261120919"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1679553531],"tin":{"type":"ein","value":"820291854"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1962796920],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1962042754],"tin":{"type":"ein","value":"844233932"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1952415051],"tin":{"type":"ein","value":"205267490"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396766598],"tin":{"type":"ein","value":"363798756"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1437263803],"tin":{"type":"ein","value":"273193107"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639236011],"tin":{"type":"ein","value":"202674252"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1952797243],"tin":{"type":"ein","value":"473071035"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1841701851],"tin":{"type":"ein","value":"364989829"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1306301403],"tin":{"type":"ein","value":"271677679"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1871016071],"tin":{"type":"ein","value":"611847517"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568735348],"tin":{"type":"ein","value":"454415174"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1235176579],"tin":{"type":"ein","value":"204748673"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457170987],"tin":{"type":"ein","value":"833935694"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851078802],"tin":{"type":"ein","value":"455202509"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801819842],"tin":{"type":"ein","value":"472706830"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588692040],"tin":{"type":"ein","value":"931195726"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003939190],"tin":{"type":"ein","value":"475437700"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1518273465],"tin":{"type":"ein","value":"273765851"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134208846],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528097102],"tin":{"type":"ein","value":"823920656"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1255597811],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1548355811],"tin":{"type":"ein","value":"826003449"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1104878610],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1902960578],"tin":{"type":"ein","value":"841391220"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083773337],"tin":{"type":"ein","value":"261286546"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1912228727],"tin":{"type":"ein","value":"271030968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1891470803],"tin":{"type":"ein","value":"352461752"}}],"network_name":["Navigator - ID PCP Type","St Luke Navigator (PCP)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1952857625],"tin":{"type":"ein","value":"271361149"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346276516],"tin":{"type":"ein","value":"272916539"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1740372648],"tin":{"type":"ein","value":"271213159"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649567322],"tin":{"type":"ein","value":"020612765"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851520514],"tin":{"type":"ein","value":"270199061"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568557684],"tin":{"type":"ein","value":"260616414"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1194837245],"tin":{"type":"ein","value":"272703067"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457717159],"tin":{"type":"ein","value":"020601730"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1275203192,1497844435,1679664122],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1700325164,1811246176],"tin":{"type":"ein","value":"273674492"}}],"network_name":["Navigator - OR PCP Type","Navigator Individual - Specialist Type Providers"]},{"provider_group_id":3,"provider_groups":[{"npi":[1942590583],"tin":{"type":"ein","value":"262526662"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1982180840],"tin":{"type":"ein","value":"455549944"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881828135],"tin":{"type":"ein","value":"264811143"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1184691602],"tin":{"type":"ein","value":"205294327"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134174469],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1154520906],"tin":{"type":"ein","value":"452792342"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1154418101],"tin":{"type":"ein","value":"853448082"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1487262077],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730110354],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346276516],"tin":{"type":"ein","value":"272916539"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114440658],"tin":{"type":"ein","value":"813688470"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1043215437],"tin":{"type":"ein","value":"826003924"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1700965118],"tin":{"type":"ein","value":"810243720"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083614630],"tin":{"type":"ein","value":"204057606"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1174561849],"tin":{"type":"ein","value":"450837040"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1760489272],"tin":{"type":"ein","value":"810258933"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1306301403],"tin":{"type":"ein","value":"271677679"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1427305341],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568087278],"tin":{"type":"ein","value":"812836286"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1194120816],"tin":{"type":"ein","value":"472143648"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851091847],"tin":{"type":"ein","value":"463125959"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1982091930],"tin":{"type":"ein","value":"812483692"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1861481814],"tin":{"type":"ein","value":"274299544"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588653679],"tin":{"type":"ein","value":"810288768"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285770958],"tin":{"type":"ein","value":"541646245"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1124769823],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1063500296],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750376299],"tin":{"type":"ein","value":"470615920"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639254618],"tin":{"type":"ein","value":"592852900"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1376182006],"tin":{"type":"ein","value":"462239207"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1487655379],"tin":{"type":"ein","value":"454243861"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164835351],"tin":{"type":"ein","value":"332136631"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1760540579],"tin":{"type":"ein","value":"753197779"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851400071],"tin":{"type":"ein","value":"462790210"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1740632090],"tin":{"type":"ein","value":"461394330"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720492820],"tin":{"type":"ein","value":"931258015"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1447245857],"tin":{"type":"ein","value":"810398400"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1366738239],"tin":{"type":"ein","value":"464230784"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1407900582],"tin":{"type":"ein","value":"842918181"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588982607],"tin":{"type":"ein","value":"272398121"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1013933423],"tin":{"type":"ein","value":"832849989"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1932083441],"tin":{"type":"ein","value":"332564032"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831370741],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1962411983],"tin":{"type":"ein","value":"205264557"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356881866],"tin":{"type":"ein","value":"611786393"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1104827070],"tin":{"type":"ein","value":"841396628"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083602205],"tin":{"type":"ein","value":"473448483"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1669531224],"tin":{"type":"ein","value":"810537171"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1477949766],"tin":{"type":"ein","value":"472920584"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1255968954],"tin":{"type":"ein","value":"611563515"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588802466],"tin":{"type":"ein","value":"205914560"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1184785420],"tin":{"type":"ein","value":"810221486"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1003939190],"tin":{"type":"ein","value":"475437700"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1598112716],"tin":{"type":"ein","value":"711008379"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093820292],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164412755],"tin":{"type":"ein","value":"261219605"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1275531865],"tin":{"type":"ein","value":"431178031"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1336175959],"tin":{"type":"ein","value":"810536454"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1396004503],"tin":{"type":"ein","value":"812015588"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790049435],"tin":{"type":"ein","value":"461991964"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1811296486],"tin":{"type":"ein","value":"271732663"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1346814035],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285625988],"tin":{"type":"ein","value":"202982423"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1679514509],"tin":{"type":"ein","value":"223065319"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730401217],"tin":{"type":"ein","value":"271976968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699827477],"tin":{"type":"ein","value":"680637976"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750376299],"tin":{"type":"ein","value":"470615920"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083655997],"tin":{"type":"ein","value":"810232124"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"383816505"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457826125],"tin":{"type":"ein","value":"830651822"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1487009635],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1851988604],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1548691561,1851988604],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1063568152],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649350513],"tin":{"type":"ein","value":"203314586"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083703185],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457717159],"tin":{"type":"ein","value":"020601730"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356332266],"tin":{"type":"ein","value":"810348783"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1427379353],"tin":{"type":"ein","value":"810286525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1427083278],"tin":{"type":"ein","value":"270329498"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1043398407],"tin":{"type":"ein","value":"204591376"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750846986],"tin":{"type":"ein","value":"471502011"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1154301026],"tin":{"type":"ein","value":"261459239"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1710171657],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1083655302],"tin":{"type":"ein","value":"463125959"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528316577],"tin":{"type":"ein","value":"371691370"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1578525044],"tin":{"type":"ein","value":"810306157"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1295505865],"tin":{"type":"ein","value":"261459239"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1316422090],"tin":{"type":"ein","value":"451802753"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114933710],"tin":{"type":"ein","value":"850812156"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386837367],"tin":{"type":"ein","value":"205016802"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1538547211],"tin":{"type":"ein","value":"825450717"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699875278],"tin":{"type":"ein","value":"464230784"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023106655,1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1326803842],"tin":{"type":"ein","value":"271130874"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588982607],"tin":{"type":"ein","value":"272398121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730536368],"tin":{"type":"ein","value":"821186424"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1942303011],"tin":{"type":"ein","value":"264520640"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1013435361],"tin":{"type":"ein","value":"208574909"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1508823360],"tin":{"type":"ein","value":"421635970"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1255383212],"tin":{"type":"ein","value":"261819228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1063500296],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1912945544],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1154428944],"tin":{"type":"ein","value":"205555324"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1295779882],"tin":{"type":"ein","value":"262295309"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801862412],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1366778771],"tin":{"type":"ein","value":"204842670"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1700893674],"tin":{"type":"ein","value":"203770341"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1295738375],"tin":{"type":"ein","value":"431980819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1619043783],"tin":{"type":"ein","value":"820480153"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1336554740],"tin":{"type":"ein","value":"820301061"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164858411],"tin":{"type":"ein","value":"461337794"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1356089973],"tin":{"type":"ein","value":"880538990"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1588090948],"tin":{"type":"ein","value":"271369141"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1710171657],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659690535],"tin":{"type":"ein","value":"272506639"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1467603225],"tin":{"type":"ein","value":"208020226"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1285625988],"tin":{"type":"ein","value":"202982423"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810373589"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1295066058],"tin":{"type":"ein","value":"815425760"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790355204],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1922548783],"tin":{"type":"ein","value":"205648026"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1316017585],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1679514509],"tin":{"type":"ein","value":"223065319"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1750313060],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1255421848],"tin":{"type":"ein","value":"471497384"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497754782],"tin":{"type":"ein","value":"810515463"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1275560617],"tin":{"type":"ein","value":"810469886"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1689719494],"tin":{"type":"ein","value":"200292246"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1275864993],"tin":{"type":"ein","value":"800943528"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1013228295],"tin":{"type":"ein","value":"461276002"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1891162541],"tin":{"type":"ein","value":"461718527"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"262011463"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1790898112],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1063500296],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1972537892],"tin":{"type":"ein","value":"462093543"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1811947344],"tin":{"type":"ein","value":"810255832"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1548691561,1730655820],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type","Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821553249],"tin":{"type":"ein","value":"271151666"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1497781512],"tin":{"type":"ein","value":"263576221"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1073303533],"tin":{"type":"ein","value":"820513481"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1598274383],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1225003213],"tin":{"type":"ein","value":"202707510"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1871946483],"tin":{"type":"ein","value":"813263165"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1295730158],"tin":{"type":"ein","value":"462560124"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164437943],"tin":{"type":"ein","value":"680513045"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831370741,1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1417519299],"tin":{"type":"ein","value":"562554975"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1114078102],"tin":{"type":"ein","value":"464355297"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1194822114],"tin":{"type":"ein","value":"810258933"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821435827],"tin":{"type":"ein","value":"454607681"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1700770864],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Voyager - OR PCP type","Voyager - WA PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1780669820],"tin":{"type":"ein","value":"470926233"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1609446061],"tin":{"type":"ein","value":"621400785"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1730401217],"tin":{"type":"ein","value":"271976968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457591166],"tin":{"type":"ein","value":"270333874"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1306378823],"tin":{"type":"ein","value":"465239172"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1881228849],"tin":{"type":"ein","value":"454827853"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1245855030],"tin":{"type":"ein","value":"810509072"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1033203146],"tin":{"type":"ein","value":"820467723"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1801862412],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1053488387],"tin":{"type":"ein","value":"810286525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1508219023],"tin":{"type":"ein","value":"562392010"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1043398407],"tin":{"type":"ein","value":"204591376"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1154562882],"tin":{"type":"ein","value":"930600146"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1457089211],"tin":{"type":"ein","value":"841370752"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":3,"provider_groups":[{"npi":[1013990092],"tin":{"type":"ein","value":"473237675"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1558484238],"tin":{"type":"ein","value":"463799343"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1770528416],"tin":{"type":"ein","value":"840897337"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1508070970],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1225350218],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"271789847"}}],"network_name":["Voyager - OR Specialist Type","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":3,"provider_groups":[{"npi":[1669628822],"tin":{"type":"ein","value":"461362563"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1699144774],"tin":{"type":"ein","value":"822393658"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1265478291],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":3,"provider_groups":[{"npi":[1659850659],"tin":{"type":"ein","value":"472294770"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1063568152],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1265478291],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1962547653],"tin":{"type":"ein","value":"810247889"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1982673927],"tin":{"type":"ein","value":"330995351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619933264],"tin":{"type":"ein","value":"742462470"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720631609],"tin":{"type":"ein","value":"410682405"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730220351],"tin":{"type":"ein","value":"810362748"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417073115],"tin":{"type":"ein","value":"680637976"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013212489],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1063500296],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1205902525],"tin":{"type":"ein","value":"203694369"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730914581],"tin":{"type":"ein","value":"264524039"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1073233383],"tin":{"type":"ein","value":"464727800"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1407935224],"tin":{"type":"ein","value":"911853574"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1366974438],"tin":{"type":"ein","value":"201508867"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093224289],"tin":{"type":"ein","value":"522314761"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386964146],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1114208980],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1588953434],"tin":{"type":"ein","value":"471196928"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750336608],"tin":{"type":"ein","value":"820316476"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215660840],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1770586794],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1326596727],"tin":{"type":"ein","value":"516783295"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1861968810],"tin":{"type":"ein","value":"930593725"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1952645285],"tin":{"type":"ein","value":"208930123"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1740260801],"tin":{"type":"ein","value":"753085499"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841862133],"tin":{"type":"ein","value":"820316476"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396377016],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649441411],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1285882431],"tin":{"type":"ein","value":"263258410"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487647657],"tin":{"type":"ein","value":"203140657"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1235820739],"tin":{"type":"ein","value":"202077583"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649683244],"tin":{"type":"ein","value":"462163622"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164587754],"tin":{"type":"ein","value":"502780707"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"203573051"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1780685636],"tin":{"type":"ein","value":"462487680"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1659475846],"tin":{"type":"ein","value":"810240726"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851100267],"tin":{"type":"ein","value":"810262019"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1104890011],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1548659113],"tin":{"type":"ein","value":"810307814"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1922372747],"tin":{"type":"ein","value":"461048411"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1275864993],"tin":{"type":"ein","value":"800943528"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1144402066],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1558580993],"tin":{"type":"ein","value":"264414106"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1992276448],"tin":{"type":"ein","value":"821215752"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194277467],"tin":{"type":"ein","value":"273543997"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1205872918],"tin":{"type":"ein","value":"810398400"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1285932186],"tin":{"type":"ein","value":"271242692"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1346847779],"tin":{"type":"ein","value":"810365511"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1316755994],"tin":{"type":"ein","value":"810262019"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1275560617],"tin":{"type":"ein","value":"810469886"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790132082],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1609826270],"tin":{"type":"ein","value":"826000428"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154426104],"tin":{"type":"ein","value":"820472265"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1902880024],"tin":{"type":"ein","value":"205648026"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1598811176],"tin":{"type":"ein","value":"810503794"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1366931412],"tin":{"type":"ein","value":"882242068"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750423679],"tin":{"type":"ein","value":"810368698"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"532025767"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1932559226],"tin":{"type":"ein","value":"273175207"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1912240128],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1932420684],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1780695387],"tin":{"type":"ein","value":"810537026"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1952479537],"tin":{"type":"ein","value":"810224734"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619652526],"tin":{"type":"ein","value":"262671896"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1265548879],"tin":{"type":"ein","value":"330057155"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1114934023],"tin":{"type":"ein","value":"810232122"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417257742],"tin":{"type":"ein","value":"204738173"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1770805673],"tin":{"type":"ein","value":"260475097"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417257742],"tin":{"type":"ein","value":"204738173"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1578501771],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194019331],"tin":{"type":"ein","value":"330239910"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1891475638],"tin":{"type":"ein","value":"473381070"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1952797243],"tin":{"type":"ein","value":"473071035"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1073770400],"tin":{"type":"ein","value":"271369141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386718427],"tin":{"type":"ein","value":"521486235"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1760805030],"tin":{"type":"ein","value":"832567312"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1962050989],"tin":{"type":"ein","value":"471445763"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649360777,1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1952312050],"tin":{"type":"ein","value":"810241755"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1518384825],"tin":{"type":"ein","value":"472369736"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1992482244],"tin":{"type":"ein","value":"810373589"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1174759161],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1235221268],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497011662],"tin":{"type":"ein","value":"810544884"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1891267852],"tin":{"type":"ein","value":"930645870"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1134835432],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184085151],"tin":{"type":"ein","value":"451799013"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699752709],"tin":{"type":"ein","value":"830300467"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1376527788],"tin":{"type":"ein","value":"460937592"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1609510759],"tin":{"type":"ein","value":"882371884"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1568413573],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487009635,1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1770362238],"tin":{"type":"ein","value":"814759166"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801565130],"tin":{"type":"ein","value":"874401463"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245560218],"tin":{"type":"ein","value":"853362197"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487461810],"tin":{"type":"ein","value":"201841667"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306135900],"tin":{"type":"ein","value":"461170621"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801343082],"tin":{"type":"ein","value":"823101320"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750736450],"tin":{"type":"ein","value":"863777955"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1861831356],"tin":{"type":"ein","value":"611744940"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730454414],"tin":{"type":"ein","value":"453641149"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164920419],"tin":{"type":"ein","value":"030531391"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639508831],"tin":{"type":"ein","value":"812673196"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1659766004],"tin":{"type":"ein","value":"800000824"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639991540],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1235490038],"tin":{"type":"ein","value":"930391573"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1477720399],"tin":{"type":"ein","value":"263299059"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"816001395"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699767962],"tin":{"type":"ein","value":"921039679"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487073573],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1174759161,1487073573],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1285650432,1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487009635],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1689800666],"tin":{"type":"ein","value":"264349685"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1922372747],"tin":{"type":"ein","value":"461048411"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1952853491],"tin":{"type":"ein","value":"851997546"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699810614],"tin":{"type":"ein","value":"541020801"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"816001395"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1043673627],"tin":{"type":"ein","value":"454415174"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215453139],"tin":{"type":"ein","value":"832849989"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184782203],"tin":{"type":"ein","value":"710881667"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1023079092],"tin":{"type":"ein","value":"203166880"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1962434498],"tin":{"type":"ein","value":"271527908"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1366163594],"tin":{"type":"ein","value":"272064429"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1952612616],"tin":{"type":"ein","value":"810374762"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1366985467],"tin":{"type":"ein","value":"471496699"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1578998480],"tin":{"type":"ein","value":"813980649"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1558647727],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1811296486],"tin":{"type":"ein","value":"271732663"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1578165445],"tin":{"type":"ein","value":"421611985"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1285882431],"tin":{"type":"ein","value":"263258410"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1255311106],"tin":{"type":"ein","value":"261100319"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1326042078],"tin":{"type":"ein","value":"264230898"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1861753923],"tin":{"type":"ein","value":"260185656"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639577125],"tin":{"type":"ein","value":"465266098"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487197125],"tin":{"type":"ein","value":"823255983"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1518936533],"tin":{"type":"ein","value":"204696843"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003034810],"tin":{"type":"ein","value":"810231787"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1932515442],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649299033],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396766903],"tin":{"type":"ein","value":"810226578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1811242555],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1831346725],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1992862718],"tin":{"type":"ein","value":"810425934"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720028228],"tin":{"type":"ein","value":"261781103"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1780254409],"tin":{"type":"ein","value":"208460477"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1538421094],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Navigator - ID PCP Type","Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":4,"provider_groups":[{"npi":[1568440295],"tin":{"type":"ein","value":"823448311"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1366951261],"tin":{"type":"ein","value":"883796666"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1568710200],"tin":{"type":"ein","value":"203606109"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497511760],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1891538088],"tin":{"type":"ein","value":"260650218"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215687124],"tin":{"type":"ein","value":"203770341"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487692950],"tin":{"type":"ein","value":"203833966"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1902990005],"tin":{"type":"ein","value":"810421823"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619173127],"tin":{"type":"ein","value":"262188574"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1235454273],"tin":{"type":"ein","value":"271239293"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841289659],"tin":{"type":"ein","value":"461992221"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013268150],"tin":{"type":"ein","value":"516989885"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1902131857],"tin":{"type":"ein","value":"270943279"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1053765164],"tin":{"type":"ein","value":"810226415"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1760441828],"tin":{"type":"ein","value":"454243861"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245285923],"tin":{"type":"ein","value":"465224638"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1740289024],"tin":{"type":"ein","value":"820523354"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1609446061],"tin":{"type":"ein","value":"621400785"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699320846],"tin":{"type":"ein","value":"852255516"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1275203192],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215323464],"tin":{"type":"ein","value":"454612628"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1063568152,1174759161],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1336413459],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1104394337],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1740471648],"tin":{"type":"ein","value":"814310580"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750269114],"tin":{"type":"ein","value":"611756375"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1902901473],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Voyager - OR PCP type","Voyager - WA PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720040132],"tin":{"type":"ein","value":"330592165"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1508484809],"tin":{"type":"ein","value":"465125403"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1083771802],"tin":{"type":"ein","value":"810425934"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093810442],"tin":{"type":"ein","value":"826000431"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1548691561],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720020878],"tin":{"type":"ein","value":"461059985"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1568482081],"tin":{"type":"ein","value":"810398400"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1114481447],"tin":{"type":"ein","value":"822576167"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1629783295],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1114161692],"tin":{"type":"ein","value":"200292246"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699827477],"tin":{"type":"ein","value":"680637976"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1467430959],"tin":{"type":"ein","value":"850880722"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1447250485],"tin":{"type":"ein","value":"930603212"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386814333],"tin":{"type":"ein","value":"931173927"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851371959],"tin":{"type":"ein","value":"470917144"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1376992438],"tin":{"type":"ein","value":"843261579"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1083773337],"tin":{"type":"ein","value":"261286546"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851495576],"tin":{"type":"ein","value":"810233121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1932677713],"tin":{"type":"ein","value":"581910859"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1104554062],"tin":{"type":"ein","value":"820750498"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396131389],"tin":{"type":"ein","value":"930415219"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1588674279],"tin":{"type":"ein","value":"201296836"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1770797060],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487009635,1770797060],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1063568152,1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1104878610],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1134208846],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215687124],"tin":{"type":"ein","value":"203770341"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1609548031],"tin":{"type":"ein","value":"874259089"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1548395197],"tin":{"type":"ein","value":"810255832"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1659639557],"tin":{"type":"ein","value":"930611911"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1760861835],"tin":{"type":"ein","value":"473791728"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1952371940],"tin":{"type":"ein","value":"930400952"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1710958491],"tin":{"type":"ein","value":"464230784"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154520906],"tin":{"type":"ein","value":"452792342"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1669437497],"tin":{"type":"ein","value":"731677879"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1295738375],"tin":{"type":"ein","value":"431980819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810373589"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1134538481],"tin":{"type":"ein","value":"273175207"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851371959],"tin":{"type":"ein","value":"470917144"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1285152777],"tin":{"type":"ein","value":"451802753"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154563963],"tin":{"type":"ein","value":"820207116"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1518954106],"tin":{"type":"ein","value":"810231775"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1063604585],"tin":{"type":"ein","value":"621681724"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1023431129],"tin":{"type":"ein","value":"815232193"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649597055],"tin":{"type":"ein","value":"465512107"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1760112155],"tin":{"type":"ein","value":"823101320"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1134286289],"tin":{"type":"ein","value":"208020226"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497982524],"tin":{"type":"ein","value":"810666871"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730941733],"tin":{"type":"ein","value":"810370945"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013952373],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699073148],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1033165022],"tin":{"type":"ein","value":"301072617"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1942312087],"tin":{"type":"ein","value":"810475376"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1881787547],"tin":{"type":"ein","value":"911802758"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1952379547],"tin":{"type":"ein","value":"836000891"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1972655264],"tin":{"type":"ein","value":"810644697"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1467570143],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1457496705],"tin":{"type":"ein","value":"830696052"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1205130473],"tin":{"type":"ein","value":"262916543"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1518949478],"tin":{"type":"ein","value":"810474188"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1861232621],"tin":{"type":"ein","value":"463107058"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619325016],"tin":{"type":"ein","value":"465587479"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1740443407],"tin":{"type":"ein","value":"208603729"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1346352515],"tin":{"type":"ein","value":"030560254"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1205823416],"tin":{"type":"ein","value":"421640098"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841275211],"tin":{"type":"ein","value":"810513385"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator LEHP - OR Specialist Type (Exclude OHSU)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1285621136],"tin":{"type":"ein","value":"820495165"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1740370626],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1295840270],"tin":{"type":"ein","value":"474006939"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1063702769],"tin":{"type":"ein","value":"333567518"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1881006948],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1952658577],"tin":{"type":"ein","value":"460713203"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1376816603],"tin":{"type":"ein","value":"463264788"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1740515261],"tin":{"type":"ein","value":"270222729"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730978362],"tin":{"type":"ein","value":"333316998"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1255874491],"tin":{"type":"ein","value":"813693668"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487750618],"tin":{"type":"ein","value":"810233121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1740843994],"tin":{"type":"ein","value":"481259581"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1043547383],"tin":{"type":"ein","value":"611430438"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1346662160],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1629253711],"tin":{"type":"ein","value":"261421147"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306926274],"tin":{"type":"ein","value":"397447486"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730401217],"tin":{"type":"ein","value":"271976968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1962547653],"tin":{"type":"ein","value":"810247889"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1558725648],"tin":{"type":"ein","value":"461062769"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1316031230],"tin":{"type":"ein","value":"464898286"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1780959007],"tin":{"type":"ein","value":"452481484"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417397548],"tin":{"type":"ein","value":"300463194"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003190547],"tin":{"type":"ein","value":"453513499"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1669576781],"tin":{"type":"ein","value":"812837374"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487257424],"tin":{"type":"ein","value":"853131744"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1033712526],"tin":{"type":"ein","value":"453770137"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154563963],"tin":{"type":"ein","value":"820207116"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1588693394],"tin":{"type":"ein","value":"592852900"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1083703185],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1043226178],"tin":{"type":"ein","value":"474023572"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841292307],"tin":{"type":"ein","value":"820226453"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1710051610],"tin":{"type":"ein","value":"824363900"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639583198],"tin":{"type":"ein","value":"465617745"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1356657894],"tin":{"type":"ein","value":"463563235"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639733801],"tin":{"type":"ein","value":"475440324"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790803765],"tin":{"type":"ein","value":"810232406"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1669437497],"tin":{"type":"ein","value":"731677879"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1033572839],"tin":{"type":"ein","value":"812799101"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1760827513],"tin":{"type":"ein","value":"200069475"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841997541],"tin":{"type":"ein","value":"850606508"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1114211448],"tin":{"type":"ein","value":"810542535"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417192600],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1447982285],"tin":{"type":"ein","value":"205267490"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1053751487],"tin":{"type":"ein","value":"463068729"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1902372923],"tin":{"type":"ein","value":"332629431"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215926985],"tin":{"type":"ein","value":"812483692"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306875695],"tin":{"type":"ein","value":"581716970"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386733327],"tin":{"type":"ein","value":"851146387"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1477903367],"tin":{"type":"ein","value":"812774706"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164141107],"tin":{"type":"ein","value":"471026878"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1508221094],"tin":{"type":"ein","value":"814872231"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1235210881],"tin":{"type":"ein","value":"462013125"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1346706520],"tin":{"type":"ein","value":"841394139"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1891162541],"tin":{"type":"ein","value":"461718527"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1033498415],"tin":{"type":"ein","value":"473371040"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1558470393],"tin":{"type":"ein","value":"810421823"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184765448],"tin":{"type":"ein","value":"061799241"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1225528342],"tin":{"type":"ein","value":"810515500"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164584074],"tin":{"type":"ein","value":"870629690"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1811045321],"tin":{"type":"ein","value":"810391207"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1881045805],"tin":{"type":"ein","value":"832040948"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1043215437],"tin":{"type":"ein","value":"826003924"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386837367],"tin":{"type":"ein","value":"205016802"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215534128],"tin":{"type":"ein","value":"844534921"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1447297882],"tin":{"type":"ein","value":"581910859"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1457717159],"tin":{"type":"ein","value":"020601730"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1235176579],"tin":{"type":"ein","value":"204748673"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720386907],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1285882431],"tin":{"type":"ein","value":"263258410"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841405891],"tin":{"type":"ein","value":"810477745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1588085336],"tin":{"type":"ein","value":"274646508"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1902131857],"tin":{"type":"ein","value":"270943279"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093263386],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003196718],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1295066058],"tin":{"type":"ein","value":"815425760"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215388145],"tin":{"type":"ein","value":"812711954"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1972677029],"tin":{"type":"ein","value":"521486235"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1962961185],"tin":{"type":"ein","value":"272251833"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851906895],"tin":{"type":"ein","value":"852687541"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1871261560],"tin":{"type":"ein","value":"472590671"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215252408],"tin":{"type":"ein","value":"800595177"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801314372],"tin":{"type":"ein","value":"562403209"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154618510],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1962597948],"tin":{"type":"ein","value":"465062444"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1023052040],"tin":{"type":"ein","value":"820291854"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154569382],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1598019747],"tin":{"type":"ein","value":"260847229"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1861488157],"tin":{"type":"ein","value":"208702786"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639514094],"tin":{"type":"ein","value":"462349174"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1770781031],"tin":{"type":"ein","value":"205648026"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699824938],"tin":{"type":"ein","value":"841419555"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1770742884],"tin":{"type":"ein","value":"611850432"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1962836783],"tin":{"type":"ein","value":"461991964"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1134984271],"tin":{"type":"ein","value":"471496699"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1255383212],"tin":{"type":"ein","value":"261819228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1700822756],"tin":{"type":"ein","value":"680496104"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1588802466],"tin":{"type":"ein","value":"205914560"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194857789],"tin":{"type":"ein","value":"220449618"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003813015],"tin":{"type":"ein","value":"460483710"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750477360],"tin":{"type":"ein","value":"472441158"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1053075077],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720028228],"tin":{"type":"ein","value":"261781103"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1063702793],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1629746037],"tin":{"type":"ein","value":"460792942"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1871758847],"tin":{"type":"ein","value":"261636704"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1508032236],"tin":{"type":"ein","value":"581910859"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437376407],"tin":{"type":"ein","value":"208574909"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154569382],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487818944],"tin":{"type":"ein","value":"810364644"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1598073207],"tin":{"type":"ein","value":"454586698"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619301496],"tin":{"type":"ein","value":"814177158"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1083703185,1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1578867016],"tin":{"type":"ein","value":"832641646"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1942820568],"tin":{"type":"ein","value":"850747001"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790849131],"tin":{"type":"ein","value":"331024755"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699190454],"tin":{"type":"ein","value":"020612765"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730110354],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1538327796],"tin":{"type":"ein","value":"461197687"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154514057],"tin":{"type":"ein","value":"455552693"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245556141],"tin":{"type":"ein","value":"820313684"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1871092189],"tin":{"type":"ein","value":"452716222"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013949353],"tin":{"type":"ein","value":"930591352"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1336479021],"tin":{"type":"ein","value":"611607211"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013268150],"tin":{"type":"ein","value":"516989885"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1932295524],"tin":{"type":"ein","value":"611423592"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1124559752],"tin":{"type":"ein","value":"810432169"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1508356510],"tin":{"type":"ein","value":"463107058"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750855532],"tin":{"type":"ein","value":"871513701"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790735561],"tin":{"type":"ein","value":"460485850"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417463142],"tin":{"type":"ein","value":"453558981"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1568492486],"tin":{"type":"ein","value":"930425580"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851660955],"tin":{"type":"ein","value":"475387665"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1063489771],"tin":{"type":"ein","value":"810478374"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1073999421],"tin":{"type":"ein","value":"830920228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1659542223],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1255449013],"tin":{"type":"ein","value":"820497771"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1740515261],"tin":{"type":"ein","value":"270222729"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1831149269],"tin":{"type":"ein","value":"813953534"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1689623761],"tin":{"type":"ein","value":"204562526"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1679869119],"tin":{"type":"ein","value":"843499565"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1538590617],"tin":{"type":"ein","value":"813688470"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1376600197],"tin":{"type":"ein","value":"810425934"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1710967724],"tin":{"type":"ein","value":"862327525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1629465166],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1679797666],"tin":{"type":"ein","value":"731657690"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1376599787],"tin":{"type":"ein","value":"810233746"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619917127],"tin":{"type":"ein","value":"462738911"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1689652265],"tin":{"type":"ein","value":"460848861"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1043545106],"tin":{"type":"ein","value":"270661299"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184678617],"tin":{"type":"ein","value":"621605720"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1558316851],"tin":{"type":"ein","value":"202707671"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730110354],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487073573],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730110354],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1134145139],"tin":{"type":"ein","value":"202077583"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649308131],"tin":{"type":"ein","value":"203573051"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801384961],"tin":{"type":"ein","value":"203659481"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1285625988],"tin":{"type":"ein","value":"202982423"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1366504532],"tin":{"type":"ein","value":"202333409"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649299033],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1780837955],"tin":{"type":"ein","value":"810307814"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1689652265],"tin":{"type":"ein","value":"460848861"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1548616444],"tin":{"type":"ein","value":"883424025"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1114569282],"tin":{"type":"ein","value":"202388521"}}],"network_name":["St Luke (BrightPath)- PCP type","Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194120816],"tin":{"type":"ein","value":"472143648"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1144488354],"tin":{"type":"ein","value":"810509072"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1982924593],"tin":{"type":"ein","value":"463805150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1134502065],"tin":{"type":"ein","value":"201386476"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1861637100],"tin":{"type":"ein","value":"463754045"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1821120536],"tin":{"type":"ein","value":"208589549"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1932234663],"tin":{"type":"ein","value":"810258933"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1235454273],"tin":{"type":"ein","value":"271239293"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437130804],"tin":{"type":"ein","value":"870376400"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1376613851],"tin":{"type":"ein","value":"863190906"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013990092],"tin":{"type":"ein","value":"473237675"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1144458944],"tin":{"type":"ein","value":"742927135"}}],"network_name":["St Luke (BrightPath)- Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1821120536],"tin":{"type":"ein","value":"208589549"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1235759432],"tin":{"type":"ein","value":"264274557"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1962411983],"tin":{"type":"ein","value":"205264557"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699875278],"tin":{"type":"ein","value":"464230784"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164587754],"tin":{"type":"ein","value":"502780707"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1144402066],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1346352515],"tin":{"type":"ein","value":"030560254"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1144019399],"tin":{"type":"ein","value":"464197680"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396581625],"tin":{"type":"ein","value":"873505345"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1144626342],"tin":{"type":"ein","value":"271677679"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1871901108],"tin":{"type":"ein","value":"264636862"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1881814432],"tin":{"type":"ein","value":"320210418"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1770651390],"tin":{"type":"ein","value":"842393195"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1104824739],"tin":{"type":"ein","value":"260002031"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1982097481],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245678085],"tin":{"type":"ein","value":"820207116"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1659475663],"tin":{"type":"ein","value":"810454940"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437585189],"tin":{"type":"ein","value":"471445763"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1912640483],"tin":{"type":"ein","value":"264402524"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1205248713],"tin":{"type":"ein","value":"831216717"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1689875833],"tin":{"type":"ein","value":"260167660"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215904370],"tin":{"type":"ein","value":"464358845"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1811954662],"tin":{"type":"ein","value":"411577266"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1558649590],"tin":{"type":"ein","value":"844582670"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1023095825],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1255365904],"tin":{"type":"ein","value":"930836166"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1518912120],"tin":{"type":"ein","value":"810233746"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1902908262],"tin":{"type":"ein","value":"810245848"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1518115195],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1629190848],"tin":{"type":"ein","value":"871139508"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1346352515],"tin":{"type":"ein","value":"030560254"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1992152466],"tin":{"type":"ein","value":"810892861"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013400795],"tin":{"type":"ein","value":"831829843"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1700929593],"tin":{"type":"ein","value":"930867459"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1982132890],"tin":{"type":"ein","value":"475189197"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1669440400],"tin":{"type":"ein","value":"464727800"}}],"network_name":["Oregon SmartHealth Tier 1 Network, PCP Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1447425178],"tin":{"type":"ein","value":"810262019"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1972091700],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730110354],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619652526],"tin":{"type":"ein","value":"262671896"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1710247739],"tin":{"type":"ein","value":"272333127"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649342692],"tin":{"type":"ein","value":"450647824"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184882623],"tin":{"type":"ein","value":"271987430"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1871269324],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1912905100],"tin":{"type":"ein","value":"820466466"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1376599787],"tin":{"type":"ein","value":"810233746"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1538158415],"tin":{"type":"ein","value":"261459239"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1073679288],"tin":{"type":"ein","value":"204448671"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194857789],"tin":{"type":"ein","value":"220449618"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801841267],"tin":{"type":"ein","value":"202897489"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1861925778],"tin":{"type":"ein","value":"621766695"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1316146848],"tin":{"type":"ein","value":"820380784"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1326042078],"tin":{"type":"ein","value":"264230898"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851520514],"tin":{"type":"ein","value":"270199061"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417519299],"tin":{"type":"ein","value":"562554975"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1235363573],"tin":{"type":"ein","value":"810398400"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154704377],"tin":{"type":"ein","value":"810467371"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750419735],"tin":{"type":"ein","value":"814759166"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1275979171],"tin":{"type":"ein","value":"526931247"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164401634],"tin":{"type":"ein","value":"731676813"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437036910],"tin":{"type":"ein","value":"455560377"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1700846284],"tin":{"type":"ein","value":"812179128"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1942820568],"tin":{"type":"ein","value":"850747001"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750793683],"tin":{"type":"ein","value":"270288886"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1073915294],"tin":{"type":"ein","value":"611744940"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1043657687],"tin":{"type":"ein","value":"824823451"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306907308],"tin":{"type":"ein","value":"810515463"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1104824739],"tin":{"type":"ein","value":"260002031"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1225082209],"tin":{"type":"ein","value":"820436622"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1376913301],"tin":{"type":"ein","value":"474319844"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1528316577],"tin":{"type":"ein","value":"371691370"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1770797060],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1134208846,1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649360777],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306854914],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1689623761],"tin":{"type":"ein","value":"204562526"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851654891],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093451841],"tin":{"type":"ein","value":"882137025"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1346211828],"tin":{"type":"ein","value":"810534672"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851400071],"tin":{"type":"ein","value":"462790210"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1811296486],"tin":{"type":"ein","value":"271732663"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1982376141],"tin":{"type":"ein","value":"922578164"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1346649993],"tin":{"type":"ein","value":"822393658"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1518238062],"tin":{"type":"ein","value":"810542541"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003190547],"tin":{"type":"ein","value":"453513499"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497759955],"tin":{"type":"ein","value":"721519467"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1902806375],"tin":{"type":"ein","value":"330995351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750764015],"tin":{"type":"ein","value":"474317444"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396977393],"tin":{"type":"ein","value":"270705907"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810463482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1568662385],"tin":{"type":"ein","value":"510446830"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730129743],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1932808078],"tin":{"type":"ein","value":"922496814"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1528084399],"tin":{"type":"ein","value":"810475352"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1548250426],"tin":{"type":"ein","value":"461062769"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1407156854],"tin":{"type":"ein","value":"461014294"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1811242555],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1780882126],"tin":{"type":"ein","value":"421690580"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790898112],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1932083441],"tin":{"type":"ein","value":"332564032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1033572839],"tin":{"type":"ein","value":"812799101"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1588802466],"tin":{"type":"ein","value":"205914560"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1205372604],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1518314756],"tin":{"type":"ein","value":"461062769"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417207648],"tin":{"type":"ein","value":"237169042"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194764266],"tin":{"type":"ein","value":"916000960"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1295164044],"tin":{"type":"ein","value":"465392617"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013268150],"tin":{"type":"ein","value":"516989885"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245482280],"tin":{"type":"ein","value":"263548852"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1205970886],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1891191672],"tin":{"type":"ein","value":"463975379"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1144570813],"tin":{"type":"ein","value":"832587632"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1225588924],"tin":{"type":"ein","value":"264433865"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1679907844],"tin":{"type":"ein","value":"930579722"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720473788],"tin":{"type":"ein","value":"471759795"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730978362],"tin":{"type":"ein","value":"333316998"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306135900],"tin":{"type":"ein","value":"461170621"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1598032138],"tin":{"type":"ein","value":"810286525"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1669462362],"tin":{"type":"ein","value":"820516012"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619043783],"tin":{"type":"ein","value":"820480153"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790823375],"tin":{"type":"ein","value":"710942678"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851371959],"tin":{"type":"ein","value":"470917144"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1114917606],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1316362601],"tin":{"type":"ein","value":"820316476"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1740289024],"tin":{"type":"ein","value":"820523354"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639288426],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1023079092],"tin":{"type":"ein","value":"203166880"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306871678],"tin":{"type":"ein","value":"030364957"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720775075],"tin":{"type":"ein","value":"462259078"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1821389743],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1114295482,1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1285706481],"tin":{"type":"ein","value":"260531635"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003190547],"tin":{"type":"ein","value":"453513499"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1588663827],"tin":{"type":"ein","value":"810421823"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1275022261],"tin":{"type":"ein","value":"825474996"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1124396544],"tin":{"type":"ein","value":"454030103"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750678298],"tin":{"type":"ein","value":"452685803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1275549875],"tin":{"type":"ein","value":"473463109"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1760236020],"tin":{"type":"ein","value":"873196131"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649350513],"tin":{"type":"ein","value":"203314586"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1104876820],"tin":{"type":"ein","value":"203562579"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245085836],"tin":{"type":"ein","value":"882251783"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1740863372],"tin":{"type":"ein","value":"454415174"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497868814],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1669811238],"tin":{"type":"ein","value":"810478374"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1225090954],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1821171588],"tin":{"type":"ein","value":"203917534"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386898435],"tin":{"type":"ein","value":"261819228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1881707552],"tin":{"type":"ein","value":"621658493"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":4,"provider_groups":[{"npi":[1528477817],"tin":{"type":"ein","value":"200041748"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1912670795],"tin":{"type":"ein","value":"862818663"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649279183],"tin":{"type":"ein","value":"810247706"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013399518],"tin":{"type":"ein","value":"862644724"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1689897548],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245292093],"tin":{"type":"ein","value":"262571143"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790823375],"tin":{"type":"ein","value":"710942678"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1336175959],"tin":{"type":"ein","value":"810536454"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1538502521],"tin":{"type":"ein","value":"816001358"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437389913],"tin":{"type":"ein","value":"470964373"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1174759161],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841219698],"tin":{"type":"ein","value":"810513538"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1083655997],"tin":{"type":"ein","value":"481276150"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1821137282],"tin":{"type":"ein","value":"455254638"}}],"network_name":["Voyager - OR PCP type","Voyager - WA PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801046503],"tin":{"type":"ein","value":"810405434"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1356332266],"tin":{"type":"ein","value":"810348783"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810463482"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841742293],"tin":{"type":"ein","value":"471724918"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194827451],"tin":{"type":"ein","value":"810405434"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245400209],"tin":{"type":"ein","value":"813713054"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1629267521],"tin":{"type":"ein","value":"461991964"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003551425],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1568765444],"tin":{"type":"ein","value":"823262828"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386100535],"tin":{"type":"ein","value":"844737930"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1881828135],"tin":{"type":"ein","value":"264811143"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801031588],"tin":{"type":"ein","value":"471138512"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841619541],"tin":{"type":"ein","value":"451083584"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003300971],"tin":{"type":"ein","value":"731631366"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1629056148],"tin":{"type":"ein","value":"823479171"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1831658301],"tin":{"type":"ein","value":"831677480"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1144481938],"tin":{"type":"ein","value":"930417507"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1285025619],"tin":{"type":"ein","value":"931280206"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639158645],"tin":{"type":"ein","value":"810510042"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1134842644],"tin":{"type":"ein","value":"853653843"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1912658790],"tin":{"type":"ein","value":"873754177"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497704860],"tin":{"type":"ein","value":"810666871"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497197438],"tin":{"type":"ein","value":"463168267"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619515194],"tin":{"type":"ein","value":"920819633"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093761108],"tin":{"type":"ein","value":"930788526"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013531979],"tin":{"type":"ein","value":"842249644"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417927997],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1043551930],"tin":{"type":"ein","value":"832849989"}}],"network_name":["Voyager - OR PCP type","Voyager - WA PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1063568152,1174759161,1487009635],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1275515157],"tin":{"type":"ein","value":"364462300"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1376746347],"tin":{"type":"ein","value":"273252563"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1588653679],"tin":{"type":"ein","value":"810288768"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1275560617],"tin":{"type":"ein","value":"810469886"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1255730743],"tin":{"type":"ein","value":"471397767"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1932872371],"tin":{"type":"ein","value":"830920228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1629186853],"tin":{"type":"ein","value":"621766695"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1871651281],"tin":{"type":"ein","value":"346462298"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1477593648],"tin":{"type":"ein","value":"465062444"}}],"network_name":["St Luke (BrightPath)- Specialist Type","Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851603955],"tin":{"type":"ein","value":"275284958"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1972877983],"tin":{"type":"ein","value":"474395496"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1346542503],"tin":{"type":"ein","value":"832046264"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1982760625],"tin":{"type":"ein","value":"830676542"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1023095825],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1578165445],"tin":{"type":"ein","value":"421611985"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1780374793],"tin":{"type":"ein","value":"465125403"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1366049389],"tin":{"type":"ein","value":"842013154"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1952464448],"tin":{"type":"ein","value":"473824855"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306135900],"tin":{"type":"ein","value":"461170621"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1982954715],"tin":{"type":"ein","value":"824111795"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1598236929],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649837865],"tin":{"type":"ein","value":"371749452"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1043379274],"tin":{"type":"ein","value":"810391531"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699892091],"tin":{"type":"ein","value":"816001361"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1700245594],"tin":{"type":"ein","value":"364823048"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1336521335],"tin":{"type":"ein","value":"331061786"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245400209],"tin":{"type":"ein","value":"813713054"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1760441828],"tin":{"type":"ein","value":"454243861"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154372340],"tin":{"type":"ein","value":"930110095"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1881324440],"tin":{"type":"ein","value":"472590671"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619325016],"tin":{"type":"ein","value":"465587479"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1174739023],"tin":{"type":"ein","value":"208786792"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1083361471],"tin":{"type":"ein","value":"208460477"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396377016],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720870595],"tin":{"type":"ein","value":"261120919"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306316138],"tin":{"type":"ein","value":"861797088"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750376299],"tin":{"type":"ein","value":"470615920"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1629485875],"tin":{"type":"ein","value":"910565166"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1225726326],"tin":{"type":"ein","value":"384043446"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750647905],"tin":{"type":"ein","value":"930391573"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1881685097],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1275549875],"tin":{"type":"ein","value":"473463109"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1336690395],"tin":{"type":"ein","value":"311339854"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1124432976],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841507266],"tin":{"type":"ein","value":"800461691"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851654891],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306861737],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720601115],"tin":{"type":"ein","value":"831191056"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1629253711],"tin":{"type":"ein","value":"261421147"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245285923],"tin":{"type":"ein","value":"465224638"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417384082],"tin":{"type":"ein","value":"815388294"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699810614],"tin":{"type":"ein","value":"541020801"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619955978],"tin":{"type":"ein","value":"133757370"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1952698201],"tin":{"type":"ein","value":"274412620"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1235852385],"tin":{"type":"ein","value":"852992300"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1922372747],"tin":{"type":"ein","value":"461048411"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417519299],"tin":{"type":"ein","value":"562554975"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1932154705],"tin":{"type":"ein","value":"562570686"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720521008],"tin":{"type":"ein","value":"412033709"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1336125533],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1083909329],"tin":{"type":"ein","value":"202707510"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1235753815],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699257568],"tin":{"type":"ein","value":"043634356"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1942820568],"tin":{"type":"ein","value":"850747001"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1871758847],"tin":{"type":"ein","value":"261636704"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1700809829],"tin":{"type":"ein","value":"331065485"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720473788],"tin":{"type":"ein","value":"471759795"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1235210881],"tin":{"type":"ein","value":"462013125"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720521008],"tin":{"type":"ein","value":"412033709"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841039377],"tin":{"type":"ein","value":"472590671"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649299033],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497844435,1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1053435149],"tin":{"type":"ein","value":"475223362"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497781512],"tin":{"type":"ein","value":"263576221"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1922093293],"tin":{"type":"ein","value":"352210163"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1083703185,1649360777],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1033165022],"tin":{"type":"ein","value":"301072617"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1922167725],"tin":{"type":"ein","value":"263336486"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1538738414],"tin":{"type":"ein","value":"461394330"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154520906],"tin":{"type":"ein","value":"452792342"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1922264571],"tin":{"type":"ein","value":"270170193"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306861737],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184782203],"tin":{"type":"ein","value":"710881667"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1104878859],"tin":{"type":"ein","value":"911394965"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1174759161],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1669462362],"tin":{"type":"ein","value":"820516012"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1457396442],"tin":{"type":"ein","value":"823311245"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1659855443],"tin":{"type":"ein","value":"830828084"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245471788],"tin":{"type":"ein","value":"911394965"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1659690535],"tin":{"type":"ein","value":"272506639"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497733596],"tin":{"type":"ein","value":"453881886"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1144418922],"tin":{"type":"ein","value":"820516012"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497706055],"tin":{"type":"ein","value":"461478455"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1427257096],"tin":{"type":"ein","value":"571181758"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1417120312],"tin":{"type":"ein","value":"816016152"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013212489,1144402066,1154569382],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1255592838],"tin":{"type":"ein","value":"800758360"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"532025767"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164945663],"tin":{"type":"ein","value":"813889575"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164838991],"tin":{"type":"ein","value":"611563515"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1568928323],"tin":{"type":"ein","value":"820489732"}}],"network_name":["Navigator - ID PCP Type","St Luke Navigator (PCP)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1073658605],"tin":{"type":"ein","value":"816016152"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013952373],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1346337664],"tin":{"type":"ein","value":"810240726"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1780695387],"tin":{"type":"ein","value":"810537026"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245285923],"tin":{"type":"ein","value":"465224638"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013228295],"tin":{"type":"ein","value":"461276002"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1447624127],"tin":{"type":"ein","value":"475659998"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"826001208"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1710248638],"tin":{"type":"ein","value":"465721324"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1710134200],"tin":{"type":"ein","value":"465366624"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154157386],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245599224],"tin":{"type":"ein","value":"931305493"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1710368139],"tin":{"type":"ein","value":"831914208"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1356366231],"tin":{"type":"ein","value":"810482444"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1437166311],"tin":{"type":"ein","value":"931071748"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1114197951],"tin":{"type":"ein","value":"472072579"}}],"network_name":["Oregon SmartHealth Tier 1 Network, PCP Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1104988336],"tin":{"type":"ein","value":"911908973"}}],"network_name":["Voyager - WA Specialist Type","Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386661999],"tin":{"type":"ein","value":"461562538"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1063568152],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215012448],"tin":{"type":"ein","value":"208397013"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1659855443],"tin":{"type":"ein","value":"830828084"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1346823127],"tin":{"type":"ein","value":"853561004"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1336532860],"tin":{"type":"ein","value":"474263575"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649723990],"tin":{"type":"ein","value":"814880949"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619959061],"tin":{"type":"ein","value":"474157091"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194785154],"tin":{"type":"ein","value":"810233121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1295779882],"tin":{"type":"ein","value":"262295309"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1447425178],"tin":{"type":"ein","value":"810262019"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386303212],"tin":{"type":"ein","value":"816016920"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1376593640],"tin":{"type":"ein","value":"820511537"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1427780543],"tin":{"type":"ein","value":"464908851"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1811437882],"tin":{"type":"ein","value":"371843700"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245255355],"tin":{"type":"ein","value":"472410179"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184788309],"tin":{"type":"ein","value":"810540504"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1568440295],"tin":{"type":"ein","value":"823448311"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1518046317],"tin":{"type":"ein","value":"592852900"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245824671],"tin":{"type":"ein","value":"273383688"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194120816],"tin":{"type":"ein","value":"472143648"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1700440849],"tin":{"type":"ein","value":"203659481"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730447186],"tin":{"type":"ein","value":"270170193"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1609992320],"tin":{"type":"ein","value":"564838256"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1255874491],"tin":{"type":"ein","value":"813693668"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013990092],"tin":{"type":"ein","value":"473237675"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1992768352],"tin":{"type":"ein","value":"816016016"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1669461703],"tin":{"type":"ein","value":"810232406"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013400795],"tin":{"type":"ein","value":"831829843"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1063568152],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1730110354],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1487073573,1730110354],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1205902525],"tin":{"type":"ein","value":"203694369"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1659542223],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396177663],"tin":{"type":"ein","value":"810515500"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1073967766],"tin":{"type":"ein","value":"812073193"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1780959007],"tin":{"type":"ein","value":"452481484"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1962411983],"tin":{"type":"ein","value":"205264557"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1952374183],"tin":{"type":"ein","value":"810231787"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1427375088],"tin":{"type":"ein","value":"383848354"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1538240213],"tin":{"type":"ein","value":"233022811"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1700822756],"tin":{"type":"ein","value":"680496104"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1538538707],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1336175959],"tin":{"type":"ein","value":"810536454"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1902072572],"tin":{"type":"ein","value":"261948511"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194088005],"tin":{"type":"ein","value":"461009805"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1013534536],"tin":{"type":"ein","value":"851544550"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1538784467],"tin":{"type":"ein","value":"208574909"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1720870595],"tin":{"type":"ein","value":"261120919"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306842554],"tin":{"type":"ein","value":"830492899"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841742293],"tin":{"type":"ein","value":"471724918"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386661999],"tin":{"type":"ein","value":"461562538"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1316965346],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1558156760],"tin":{"type":"ein","value":"844582670"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1528738028],"tin":{"type":"ein","value":"270175385"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497733596],"tin":{"type":"ein","value":"453881886"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1528658903],"tin":{"type":"ein","value":"464707258"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1578873477],"tin":{"type":"ein","value":"263095354"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1316711633],"tin":{"type":"ein","value":"261871008"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215262738],"tin":{"type":"ein","value":"261780585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1144885575],"tin":{"type":"ein","value":"263946191"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1588653679],"tin":{"type":"ein","value":"810288768"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"262011463"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1629119086],"tin":{"type":"ein","value":"204333803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1871972224],"tin":{"type":"ein","value":"453951495"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1689720435],"tin":{"type":"ein","value":"820313684"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1447456272],"tin":{"type":"ein","value":"462093543"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1619988144],"tin":{"type":"ein","value":"820146328"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1699850966],"tin":{"type":"ein","value":"260656038"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1023628526],"tin":{"type":"ein","value":"371749452"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1457591166],"tin":{"type":"ein","value":"270333874"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1811242555],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386837367],"tin":{"type":"ein","value":"205016802"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1043215437],"tin":{"type":"ein","value":"826003924"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851406888],"tin":{"type":"ein","value":"820527089"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1053381483],"tin":{"type":"ein","value":"816001366"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790945418],"tin":{"type":"ein","value":"260656038"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1912945544],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1174515431],"tin":{"type":"ein","value":"203806300"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851434823],"tin":{"type":"ein","value":"710924563"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1023562147],"tin":{"type":"ein","value":"813471205"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1912905100],"tin":{"type":"ein","value":"820466466"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1285517268],"tin":{"type":"ein","value":"202995060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1518136308],"tin":{"type":"ein","value":"810236460"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164627667],"tin":{"type":"ein","value":"680503101"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1992726384],"tin":{"type":"ein","value":"461790238"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":4,"provider_groups":[{"npi":[1275025678],"tin":{"type":"ein","value":"392253428"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1528186053],"tin":{"type":"ein","value":"269781495"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1336413459],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790454395],"tin":{"type":"ein","value":"464707258"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1194417261],"tin":{"type":"ein","value":"810262019"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1932288412],"tin":{"type":"ein","value":"364617008"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1275025678],"tin":{"type":"ein","value":"392253428"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1700319381],"tin":{"type":"ein","value":"821113614"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639774029],"tin":{"type":"ein","value":"465318746"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1568430304],"tin":{"type":"ein","value":"270175385"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1023336146],"tin":{"type":"ein","value":"272398215"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1154569382],"tin":{"type":"ein","value":"823080724"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1851434823],"tin":{"type":"ein","value":"710924563"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1063455418],"tin":{"type":"ein","value":"810378200"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1134208846,1487009635],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1770590689],"tin":{"type":"ein","value":"810232122"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1174074215],"tin":{"type":"ein","value":"621681724"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1427142231],"tin":{"type":"ein","value":"810439198"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1790388759],"tin":{"type":"ein","value":"461228277"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1396236527],"tin":{"type":"ein","value":"471138512"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1750601423],"tin":{"type":"ein","value":"475058612"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1659409241],"tin":{"type":"ein","value":"931126853"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1700418803],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1871838672],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1477932705],"tin":{"type":"ein","value":"571181758"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1780721522],"tin":{"type":"ein","value":"455202509"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1316278401],"tin":{"type":"ein","value":"821215752"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1346710340],"tin":{"type":"ein","value":"832041771"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1912527201],"tin":{"type":"ein","value":"830787968"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1275560617],"tin":{"type":"ein","value":"810469886"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1104811207],"tin":{"type":"ein","value":"911784789"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1922606920],"tin":{"type":"ein","value":"463068729"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1639939267],"tin":{"type":"ein","value":"990731029"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1003367491],"tin":{"type":"ein","value":"930386823"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1023032588],"tin":{"type":"ein","value":"810231793"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1306841275],"tin":{"type":"ein","value":"481259581"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1669114807],"tin":{"type":"ein","value":"842612281"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841275211],"tin":{"type":"ein","value":"810513385"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1861441867],"tin":{"type":"ein","value":"820465077"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1578217634],"tin":{"type":"ein","value":"273543997"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1457414948],"tin":{"type":"ein","value":"820200895"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1861950354],"tin":{"type":"ein","value":"843988171"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":4,"provider_groups":[{"npi":[1942392113],"tin":{"type":"ein","value":"812877804"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":4,"provider_groups":[{"npi":[1841507266],"tin":{"type":"ein","value":"800461691"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1154622504],"tin":{"type":"ein","value":"273837095"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1528001690],"tin":{"type":"ein","value":"264524039"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1457591166],"tin":{"type":"ein","value":"270333874"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1497706055],"tin":{"type":"ein","value":"461478455"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1083807101],"tin":{"type":"ein","value":"260528775"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1740275130],"tin":{"type":"ein","value":"621766695"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1992844575],"tin":{"type":"ein","value":"461621786"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1396822888],"tin":{"type":"ein","value":"204768301"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1679232565],"tin":{"type":"ein","value":"263494212"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1700503471],"tin":{"type":"ein","value":"462259078"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1013602473],"tin":{"type":"ein","value":"200041748"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285932186],"tin":{"type":"ein","value":"271242692"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1366905929],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639109895],"tin":{"type":"ein","value":"451488345"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1962411983],"tin":{"type":"ein","value":"205264557"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215388145],"tin":{"type":"ein","value":"812711954"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1497146534],"tin":{"type":"ein","value":"472430266"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881707552],"tin":{"type":"ein","value":"621658493"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922093293],"tin":{"type":"ein","value":"352210163"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194364091],"tin":{"type":"ein","value":"850589915"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1962430116],"tin":{"type":"ein","value":"204870192"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801313200],"tin":{"type":"ein","value":"450837040"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1609880368],"tin":{"type":"ein","value":"800502750"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1730655820],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437270097],"tin":{"type":"ein","value":"208143717"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1447281225],"tin":{"type":"ein","value":"200292246"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1013180413],"tin":{"type":"ein","value":"271283222"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1275515157],"tin":{"type":"ein","value":"364462300"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1679682439],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881836724],"tin":{"type":"ein","value":"263946191"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386181220],"tin":{"type":"ein","value":"465444009"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1316925787],"tin":{"type":"ein","value":"611744940"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1609925171],"tin":{"type":"ein","value":"264404173"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285932186],"tin":{"type":"ein","value":"271242692"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043597495],"tin":{"type":"ein","value":"472026764"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205902525],"tin":{"type":"ein","value":"203694369"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437143161],"tin":{"type":"ein","value":"272064429"}}],"network_name":["St Luke Navigator (PCP)","St Luke (BrightPath)- PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285625988],"tin":{"type":"ein","value":"202982423"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1588726483],"tin":{"type":"ein","value":"810221486"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1871952143],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1477932705],"tin":{"type":"ein","value":"571181758"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1538883384],"tin":{"type":"ein","value":"454524233"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1982233144],"tin":{"type":"ein","value":"452716222"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285517268],"tin":{"type":"ein","value":"202995060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1235255605],"tin":{"type":"ein","value":"820521864"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922093293],"tin":{"type":"ein","value":"352210163"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194962746],"tin":{"type":"ein","value":"203000666"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1528316577],"tin":{"type":"ein","value":"371691370"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245255355],"tin":{"type":"ein","value":"472410179"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285882431],"tin":{"type":"ein","value":"263258410"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194120816],"tin":{"type":"ein","value":"472143648"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073613816],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1275515157],"tin":{"type":"ein","value":"364462300"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1730121401],"tin":{"type":"ein","value":"202447516"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1346352515],"tin":{"type":"ein","value":"030560254"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023095825],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437314580],"tin":{"type":"ein","value":"462243011"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1700245594],"tin":{"type":"ein","value":"364823048"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023438538],"tin":{"type":"ein","value":"222862167"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1871901108],"tin":{"type":"ein","value":"264636862"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801978481],"tin":{"type":"ein","value":"301288118"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1104876820],"tin":{"type":"ein","value":"203562579"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285441998,1710171657],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT Specialist Type","Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881620839],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1609925171],"tin":{"type":"ein","value":"264404173"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1598356875],"tin":{"type":"ein","value":"237169042"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1497913008],"tin":{"type":"ein","value":"300336703"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1588168488],"tin":{"type":"ein","value":"455560377"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1992894497],"tin":{"type":"ein","value":"202077583"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073732434],"tin":{"type":"ein","value":"264413888"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1932162518],"tin":{"type":"ein","value":"450471748"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1952425142],"tin":{"type":"ein","value":"270488618"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":2,"provider_groups":[{"npi":[1487262077,1659623494,1851988604],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type","Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1114252731],"tin":{"type":"ein","value":"272104941"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417278011],"tin":{"type":"ein","value":"270616665"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1609992320],"tin":{"type":"ein","value":"564838256"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1487009635],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1508061664],"tin":{"type":"ein","value":"455362750"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1942753637],"tin":{"type":"ein","value":"812139227"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1225053630],"tin":{"type":"ein","value":"205461869"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1528117421],"tin":{"type":"ein","value":"271361149"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1659475846],"tin":{"type":"ein","value":"810240726"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093082638],"tin":{"type":"ein","value":"421611985"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1760549349],"tin":{"type":"ein","value":"810537836"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750053559],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144682758],"tin":{"type":"ein","value":"274604304"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073697504],"tin":{"type":"ein","value":"821878518"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1932468337],"tin":{"type":"ein","value":"461992221"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1871758847],"tin":{"type":"ein","value":"261636704"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1669798930],"tin":{"type":"ein","value":"272358620"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1912787805],"tin":{"type":"ein","value":"832040948"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1902569320],"tin":{"type":"ein","value":"371840416"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851520514],"tin":{"type":"ein","value":"270199061"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1063500296],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750445342],"tin":{"type":"ein","value":"472441158"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831592625],"tin":{"type":"ein","value":"455303800"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1124769823],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1902245145],"tin":{"type":"ein","value":"812164710"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1740283555],"tin":{"type":"ein","value":"820316476"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1356089973],"tin":{"type":"ein","value":"880538990"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194923789],"tin":{"type":"ein","value":"271039520"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1376552893],"tin":{"type":"ein","value":"816016016"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215018312],"tin":{"type":"ein","value":"208084188"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1952698201],"tin":{"type":"ein","value":"274412620"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1447621214],"tin":{"type":"ein","value":"475343977"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1225090954],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1225687106],"tin":{"type":"ein","value":"262343447"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1588085336],"tin":{"type":"ein","value":"274646508"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437546082],"tin":{"type":"ein","value":"471338694"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245482280],"tin":{"type":"ein","value":"263548852"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285650432,1679664122],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1841642337],"tin":{"type":"ein","value":"237169042"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1912386004],"tin":{"type":"ein","value":"474023572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1568430304],"tin":{"type":"ein","value":"270175385"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043547383],"tin":{"type":"ein","value":"611430438"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881030443],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1326627787],"tin":{"type":"ein","value":"262343447"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1558864637],"tin":{"type":"ein","value":"273882339"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1265481758],"tin":{"type":"ein","value":"204738173"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1598978280],"tin":{"type":"ein","value":"208592848"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1710171657],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1427476225],"tin":{"type":"ein","value":"260002031"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1720235955],"tin":{"type":"ein","value":"454527794"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1962469544],"tin":{"type":"ein","value":"631240726"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922022425],"tin":{"type":"ein","value":"202354326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164412755],"tin":{"type":"ein","value":"261219605"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1134145139],"tin":{"type":"ein","value":"202077583"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1699344671],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1295757292],"tin":{"type":"ein","value":"202333409"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1376816603],"tin":{"type":"ein","value":"463264788"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1114330404],"tin":{"type":"ein","value":"201508867"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1679809396],"tin":{"type":"ein","value":"271283197"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285654558],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073613816],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851406888],"tin":{"type":"ein","value":"820527089"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023052040],"tin":{"type":"ein","value":"820291854"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1235255605],"tin":{"type":"ein","value":"820521864"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1578540498],"tin":{"type":"ein","value":"870629690"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1255394847],"tin":{"type":"ein","value":"201514446"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144245085],"tin":{"type":"ein","value":"201386476"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1730121401],"tin":{"type":"ein","value":"202447516"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1457717159],"tin":{"type":"ein","value":"020601730"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1609989029],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1033769435],"tin":{"type":"ein","value":"208784604"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1033165022],"tin":{"type":"ein","value":"301072617"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215680582],"tin":{"type":"ein","value":"454524233"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1568143857],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1295707776],"tin":{"type":"ein","value":"331046615"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"237428302"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1124418728],"tin":{"type":"ein","value":"464707258"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881785087],"tin":{"type":"ein","value":"311339854"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1912426925],"tin":{"type":"ein","value":"273543997"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1396977393],"tin":{"type":"ein","value":"270705907"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1104394337],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1730655820],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1902072572],"tin":{"type":"ein","value":"261948511"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649765603],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1447360987],"tin":{"type":"ein","value":"263538192"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1558316851],"tin":{"type":"ein","value":"202707671"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1730558818],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790183457],"tin":{"type":"ein","value":"208460477"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1366098600],"tin":{"type":"ein","value":"301130347"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801931977],"tin":{"type":"ein","value":"361684106"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245449099],"tin":{"type":"ein","value":"611903931"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1376704338],"tin":{"type":"ein","value":"007863395"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1568143857],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1255730743],"tin":{"type":"ein","value":"471397767"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1538691563],"tin":{"type":"ein","value":"275017250"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1861496804],"tin":{"type":"ein","value":"271021561"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1184653461,1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1184882623],"tin":{"type":"ein","value":"271987430"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1295779882],"tin":{"type":"ein","value":"262295309"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1780221499],"tin":{"type":"ein","value":"843763112"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1104878859],"tin":{"type":"ein","value":"911394965"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1619917127],"tin":{"type":"ein","value":"462738911"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1700824430],"tin":{"type":"ein","value":"650816108"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","St Luke (BrightPath)- Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043375975],"tin":{"type":"ein","value":"204148309"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922879568],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1699073148],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1427805282],"tin":{"type":"ein","value":"263095354"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1760479885],"tin":{"type":"ein","value":"742152396"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1326375908],"tin":{"type":"ein","value":"943122268"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1407855240],"tin":{"type":"ein","value":"870533822"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1174005235],"tin":{"type":"ein","value":"823089090"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1003969288],"tin":{"type":"ein","value":"820503498"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1932766128],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1992999775],"tin":{"type":"ein","value":"203303351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750423679],"tin":{"type":"ein","value":"810368698"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1366469074],"tin":{"type":"ein","value":"451799013"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801533690],"tin":{"type":"ein","value":"860736917"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1316973340],"tin":{"type":"ein","value":"461062769"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417503574],"tin":{"type":"ein","value":"475414023"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1770607723],"tin":{"type":"ein","value":"202095127"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1740372648],"tin":{"type":"ein","value":"271213159"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1497197438],"tin":{"type":"ein","value":"463168267"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1902225642],"tin":{"type":"ein","value":"208460477"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1336479021],"tin":{"type":"ein","value":"611607211"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1548626872],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1770805673],"tin":{"type":"ein","value":"260475097"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144558172],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1275720807],"tin":{"type":"ein","value":"237169042"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093292245],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1891762209],"tin":{"type":"ein","value":"721519467"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205372604],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831169317],"tin":{"type":"ein","value":"593406826"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043718950],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164858411],"tin":{"type":"ein","value":"461337794"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750830725],"tin":{"type":"ein","value":"464872349"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1457717159],"tin":{"type":"ein","value":"020601730"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1295757292],"tin":{"type":"ein","value":"202333409"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1083069488],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417287137],"tin":{"type":"ein","value":"271402985"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1114558830],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1902811581],"tin":{"type":"ein","value":"810544884"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1760576714],"tin":{"type":"ein","value":"202995060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1689623761],"tin":{"type":"ein","value":"204562526"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1548395197],"tin":{"type":"ein","value":"810255832"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1770872988],"tin":{"type":"ein","value":"200593658"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1174515431],"tin":{"type":"ein","value":"203806300"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073946711],"tin":{"type":"ein","value":"454880182"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851669584],"tin":{"type":"ein","value":"453940402"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1710247739],"tin":{"type":"ein","value":"272333127"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1730121401],"tin":{"type":"ein","value":"202447516"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1033504741],"tin":{"type":"ein","value":"020612765"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1548626872],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1659833986],"tin":{"type":"ein","value":"461991964"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator LEHP - OR Specialist Type (Exclude OHSU)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1578667739],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043215437],"tin":{"type":"ein","value":"826003924"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1104191089],"tin":{"type":"ein","value":"820207116"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023524121],"tin":{"type":"ein","value":"465513696"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1053669598],"tin":{"type":"ein","value":"454551946"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1184691602],"tin":{"type":"ein","value":"205294327"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790823375],"tin":{"type":"ein","value":"710942678"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1508823360],"tin":{"type":"ein","value":"421635970"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1578843876],"tin":{"type":"ein","value":"461014294"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1952415051],"tin":{"type":"ein","value":"205267490"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1235454273],"tin":{"type":"ein","value":"271239293"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1063045771],"tin":{"type":"ein","value":"274012525"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1962438812],"tin":{"type":"ein","value":"462093543"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1972902286],"tin":{"type":"ein","value":"460746544"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639583198],"tin":{"type":"ein","value":"465617745"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1760434385],"tin":{"type":"ein","value":"270591394"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1528193042],"tin":{"type":"ein","value":"205325228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164412755],"tin":{"type":"ein","value":"261219605"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1538240213],"tin":{"type":"ein","value":"233022811"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194029686],"tin":{"type":"ein","value":"471196928"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1326627787],"tin":{"type":"ein","value":"262343447"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1952698201],"tin":{"type":"ein","value":"274412620"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1942303011],"tin":{"type":"ein","value":"264520640"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1295779882],"tin":{"type":"ein","value":"262295309"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1134208846],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1760680318],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1134286289],"tin":{"type":"ein","value":"473371040"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1619038601],"tin":{"type":"ein","value":"810347382"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1679809396],"tin":{"type":"ein","value":"271283197"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801314372],"tin":{"type":"ein","value":"562403209"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1780844647],"tin":{"type":"ein","value":"203980340"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1548691561],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851988604],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1356813497],"tin":{"type":"ein","value":"263494212"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1891734000],"tin":{"type":"ein","value":"204687838"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1235483728],"tin":{"type":"ein","value":"455209647"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1306871678],"tin":{"type":"ein","value":"030364957"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1871651281],"tin":{"type":"ein","value":"346462298"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1104876820],"tin":{"type":"ein","value":"203562579"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386157295],"tin":{"type":"ein","value":"461009805"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386181220],"tin":{"type":"ein","value":"465444009"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1629465166],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1235176579],"tin":{"type":"ein","value":"204748673"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1063722866],"tin":{"type":"ein","value":"520136561"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1659623494],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"621762552"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1972696755],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144558172],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1932888542],"tin":{"type":"ein","value":"264402524"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1811062524],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1821049420],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1558415422],"tin":{"type":"ein","value":"264520640"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1083703185],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1760489272],"tin":{"type":"ein","value":"810258933"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144243916],"tin":{"type":"ein","value":"271369141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073946711],"tin":{"type":"ein","value":"454880182"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1912729898],"tin":{"type":"ein","value":"332564032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1477720399],"tin":{"type":"ein","value":"263299059"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790387637],"tin":{"type":"ein","value":"810367074"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639288426],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"262011463"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851400071],"tin":{"type":"ein","value":"462790210"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093141889],"tin":{"type":"ein","value":"471724918"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1295139277],"tin":{"type":"ein","value":"813889575"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043887771],"tin":{"type":"ein","value":"461014294"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1396218129],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1356366231],"tin":{"type":"ein","value":"810482444"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1235820739],"tin":{"type":"ein","value":"202077583"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639583198],"tin":{"type":"ein","value":"465617745"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922167725],"tin":{"type":"ein","value":"263336486"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881937118],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1932766128],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1063568152],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1659542223],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1003190547],"tin":{"type":"ein","value":"453513499"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1578584611],"tin":{"type":"ein","value":"204425381"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1528193042],"tin":{"type":"ein","value":"205325228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205868817],"tin":{"type":"ein","value":"203980340"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1174541643],"tin":{"type":"ein","value":"201386476"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1538345699],"tin":{"type":"ein","value":"275284958"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164835351],"tin":{"type":"ein","value":"332136631"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285654558],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1609989029],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1760434385],"tin":{"type":"ein","value":"270591394"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073897468],"tin":{"type":"ein","value":"474350731"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205080181],"tin":{"type":"ein","value":"300474327"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1780659920],"tin":{"type":"ein","value":"474006939"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1932288412],"tin":{"type":"ein","value":"364617008"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1497720460],"tin":{"type":"ein","value":"271789847"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1447426465],"tin":{"type":"ein","value":"262512237"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1154749588],"tin":{"type":"ein","value":"863893513"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851371959],"tin":{"type":"ein","value":"470917144"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1720040132],"tin":{"type":"ein","value":"330592165"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801841267],"tin":{"type":"ein","value":"202897489"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"383816505"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1316460264],"tin":{"type":"ein","value":"826001347"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023271459],"tin":{"type":"ein","value":"205575145"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1932691656],"tin":{"type":"ein","value":"410682405"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285625988],"tin":{"type":"ein","value":"202982423"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023079092],"tin":{"type":"ein","value":"203166880"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1053743443],"tin":{"type":"ein","value":"454484738"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1679682439],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417931817],"tin":{"type":"ein","value":"204112169"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023095825],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1588802466],"tin":{"type":"ein","value":"205914560"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1134476310],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1356536312],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215012448],"tin":{"type":"ein","value":"208397013"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1558864637],"tin":{"type":"ein","value":"208574909"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1447426465],"tin":{"type":"ein","value":"262512237"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801841267],"tin":{"type":"ein","value":"202897489"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881344893],"tin":{"type":"ein","value":"461843598"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205868817],"tin":{"type":"ein","value":"203980340"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1356308399],"tin":{"type":"ein","value":"411594648"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881685097],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1699175158],"tin":{"type":"ein","value":"471677265"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285932186],"tin":{"type":"ein","value":"271242692"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1811009517],"tin":{"type":"ein","value":"753141675"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1275099251],"tin":{"type":"ein","value":"272263695"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1871682237],"tin":{"type":"ein","value":"203039118"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1598019747],"tin":{"type":"ein","value":"260847229"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1952658577],"tin":{"type":"ein","value":"460713203"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1891787743],"tin":{"type":"ein","value":"272251833"}}],"network_name":["Voyager - WA PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1295266401],"tin":{"type":"ein","value":"820300537"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"383816505"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1548626872],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649360777],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144529306],"tin":{"type":"ein","value":"205058015"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1003315045],"tin":{"type":"ein","value":"460828859"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1528186053],"tin":{"type":"ein","value":"269781495"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1053688036],"tin":{"type":"ein","value":"270224735"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1912228727],"tin":{"type":"ein","value":"271030968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649360777],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1619290863],"tin":{"type":"ein","value":"362193608"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073891172],"tin":{"type":"ein","value":"843533391"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1114934247],"tin":{"type":"ein","value":"260480092"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1427780543],"tin":{"type":"ein","value":"464908851"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831149269],"tin":{"type":"ein","value":"813953534"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1376704338],"tin":{"type":"ein","value":"007863395"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1699717835],"tin":{"type":"ein","value":"820498925"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881641629],"tin":{"type":"ein","value":"826001139"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851988604],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1689627135],"tin":{"type":"ein","value":"260456503"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1689876781],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790735561],"tin":{"type":"ein","value":"460485850"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1457749475],"tin":{"type":"ein","value":"471655155"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831564665],"tin":{"type":"ein","value":"472240524"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1114197951],"tin":{"type":"ein","value":"472072579"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1821184888],"tin":{"type":"ein","value":"810463482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194848697],"tin":{"type":"ein","value":"301288118"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1295094530],"tin":{"type":"ein","value":"270170193"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1225919954],"tin":{"type":"ein","value":"271151666"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1578307898],"tin":{"type":"ein","value":"273674492"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1871901108],"tin":{"type":"ein","value":"264636862"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1114965894],"tin":{"type":"ein","value":"204847800"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1457444119],"tin":{"type":"ein","value":"262674683"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1760447262],"tin":{"type":"ein","value":"202068627"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1659542223],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851988604],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851988604],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073613816],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1679682439],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1659450740],"tin":{"type":"ein","value":"611423592"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1427151661],"tin":{"type":"ein","value":"274299544"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1356545602],"tin":{"type":"ein","value":"273175207"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1942643812],"tin":{"type":"ein","value":"461718527"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023336146],"tin":{"type":"ein","value":"272398215"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205372604],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1255311106],"tin":{"type":"ein","value":"261100319"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1568664944],"tin":{"type":"ein","value":"203161362"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1982192019],"tin":{"type":"ein","value":"300463194"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1053589648],"tin":{"type":"ein","value":"202088973"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205255627],"tin":{"type":"ein","value":"811366784"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144418922],"tin":{"type":"ein","value":"820516012"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1083844401],"tin":{"type":"ein","value":"263634042"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386373751],"tin":{"type":"ein","value":"272237519"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043550734],"tin":{"type":"ein","value":"203573051"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1982805271],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922022425],"tin":{"type":"ein","value":"202354326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205902525],"tin":{"type":"ein","value":"203694369"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1376767897],"tin":{"type":"ein","value":"274299544"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1538345699],"tin":{"type":"ein","value":"275284958"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1700893674],"tin":{"type":"ein","value":"203770341"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1760528426],"tin":{"type":"ein","value":"208603729"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1811962103],"tin":{"type":"ein","value":"203802500"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1588982607],"tin":{"type":"ein","value":"272398121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1114569282],"tin":{"type":"ein","value":"202388521"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417287137],"tin":{"type":"ein","value":"271402985"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144889288],"tin":{"type":"ein","value":"263208398"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1932766128],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1265977888],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1952645285],"tin":{"type":"ein","value":"208930123"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1740372648],"tin":{"type":"ein","value":"271213159"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417257742],"tin":{"type":"ein","value":"204738173"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194857789],"tin":{"type":"ein","value":"220449618"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1902881006],"tin":{"type":"ein","value":"263419040"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1558029421],"tin":{"type":"ein","value":"810474188"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1811242555],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417073115],"tin":{"type":"ein","value":"680637976"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437314580],"tin":{"type":"ein","value":"462243011"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1982963930],"tin":{"type":"ein","value":"352443822"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1174739023],"tin":{"type":"ein","value":"208786792"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1114481447],"tin":{"type":"ein","value":"822576167"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1295164044],"tin":{"type":"ein","value":"465392617"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1063500296],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1275203192],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1932389814],"tin":{"type":"ein","value":"611684584"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1316300577],"tin":{"type":"ein","value":"463022572"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1992798409],"tin":{"type":"ein","value":"820380784"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1255760815],"tin":{"type":"ein","value":"463852982"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1821171588],"tin":{"type":"ein","value":"203917534"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750614046],"tin":{"type":"ein","value":"273252563"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043550734],"tin":{"type":"ein","value":"203573051"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417287137],"tin":{"type":"ein","value":"271402985"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023079092],"tin":{"type":"ein","value":"203166880"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1538250741],"tin":{"type":"ein","value":"311339854"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1538518105],"tin":{"type":"ein","value":"474461509"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1124396544],"tin":{"type":"ein","value":"454030103"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1619314507],"tin":{"type":"ein","value":"201718201"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093222168],"tin":{"type":"ein","value":"203573051"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437813409],"tin":{"type":"ein","value":"260185656"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1316434111],"tin":{"type":"ein","value":"271402749"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1992894497],"tin":{"type":"ein","value":"202077583"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1821120536],"tin":{"type":"ein","value":"208589549"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1679514509],"tin":{"type":"ein","value":"223065319"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285251132],"tin":{"type":"ein","value":"371912708"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1629224449],"tin":{"type":"ein","value":"260835445"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1306926274],"tin":{"type":"ein","value":"397447486"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1760434385],"tin":{"type":"ein","value":"270591394"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922556836],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205080181],"tin":{"type":"ein","value":"300474327"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790823375],"tin":{"type":"ein","value":"710942678"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790803369],"tin":{"type":"ein","value":"810269223"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1033769435],"tin":{"type":"ein","value":"208784604"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194125351],"tin":{"type":"ein","value":"470964373"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1720473788],"tin":{"type":"ein","value":"471759795"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1083614630],"tin":{"type":"ein","value":"204057606"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1730454414],"tin":{"type":"ein","value":"453641149"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1659850659],"tin":{"type":"ein","value":"472294770"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639991540],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1487073573],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1730655820],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1316274822],"tin":{"type":"ein","value":"101420866"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144402066],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1396032447],"tin":{"type":"ein","value":"383816505"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1669837449],"tin":{"type":"ein","value":"474169185"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1689800666],"tin":{"type":"ein","value":"264349685"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1104876820],"tin":{"type":"ein","value":"203562579"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1134414527],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1174523336],"tin":{"type":"ein","value":"810221486"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851518344],"tin":{"type":"ein","value":"474395496"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285441998],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1679939318],"tin":{"type":"ein","value":"475641623"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801893557],"tin":{"type":"ein","value":"208084188"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285441998],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285845248],"tin":{"type":"ein","value":"810141660"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851483242],"tin":{"type":"ein","value":"421585350"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1376913301],"tin":{"type":"ein","value":"474319844"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1316385974],"tin":{"type":"ein","value":"843499565"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1962430116],"tin":{"type":"ein","value":"204870192"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245855030],"tin":{"type":"ein","value":"271361149"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1598978280],"tin":{"type":"ein","value":"208592848"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1407345614],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922553494],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1700893674],"tin":{"type":"ein","value":"203770341"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1609223932],"tin":{"type":"ein","value":"208202094"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1346353521],"tin":{"type":"ein","value":"810481082"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1518911890],"tin":{"type":"ein","value":"203942050"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1528193042],"tin":{"type":"ein","value":"205325228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1912228727],"tin":{"type":"ein","value":"271030968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1548587702],"tin":{"type":"ein","value":"202077583"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1275821746],"tin":{"type":"ein","value":"452437880"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1902372923],"tin":{"type":"ein","value":"332629431"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1154520906],"tin":{"type":"ein","value":"452792342"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073613816],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1447306790],"tin":{"type":"ein","value":"454827853"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1760108377],"tin":{"type":"ein","value":"464707899"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1770805673],"tin":{"type":"ein","value":"260475097"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215999222],"tin":{"type":"ein","value":"836000891"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1497152896],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922022425],"tin":{"type":"ein","value":"202354326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1558580993],"tin":{"type":"ein","value":"264414106"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1154448595],"tin":{"type":"ein","value":"455475483"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093036964],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1821096082],"tin":{"type":"ein","value":"826000431"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750446787],"tin":{"type":"ein","value":"826003449"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1962438812],"tin":{"type":"ein","value":"462093543"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1740287911],"tin":{"type":"ein","value":"820436622"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043524242],"tin":{"type":"ein","value":"820486392"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1003969288],"tin":{"type":"ein","value":"820503498"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1609826270],"tin":{"type":"ein","value":"826000428"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1629783295],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1891732905],"tin":{"type":"ein","value":"363525049"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1982805271],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1740370626],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881697118],"tin":{"type":"ein","value":"820426249"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1669720397],"tin":{"type":"ein","value":"455254219"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1730252487],"tin":{"type":"ein","value":"930983555"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1154563963],"tin":{"type":"ein","value":"820207116"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881707552],"tin":{"type":"ein","value":"621658493"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1316924046],"tin":{"type":"ein","value":"201054971"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1689800666],"tin":{"type":"ein","value":"264349685"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1497287775],"tin":{"type":"ein","value":"204696843"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639991540],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1003019647],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1255311106],"tin":{"type":"ein","value":"261100319"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1598063851],"tin":{"type":"ein","value":"201300128"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1811296486],"tin":{"type":"ein","value":"271732663"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1912228727],"tin":{"type":"ein","value":"271030968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164858411],"tin":{"type":"ein","value":"461337794"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1700107596],"tin":{"type":"ein","value":"473202795"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245985316],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1518949478],"tin":{"type":"ein","value":"810474188"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1578165445],"tin":{"type":"ein","value":"421611985"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639236011],"tin":{"type":"ein","value":"202674252"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922558055],"tin":{"type":"ein","value":"462879338"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1013435361],"tin":{"type":"ein","value":"208574909"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1891929519],"tin":{"type":"ein","value":"421583605"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Billings Clinic PCP type providers"]},{"provider_group_id":2,"provider_groups":[{"npi":[1457414948],"tin":{"type":"ein","value":"820200895"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285622589],"tin":{"type":"ein","value":"470858718"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1710354352],"tin":{"type":"ein","value":"810231787"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144292582],"tin":{"type":"ein","value":"205018943"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1710247739],"tin":{"type":"ein","value":"272333127"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1053435149],"tin":{"type":"ein","value":"475223362"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1811437882],"tin":{"type":"ein","value":"371843700"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285251132],"tin":{"type":"ein","value":"371912708"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245482280],"tin":{"type":"ein","value":"263548852"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417999657],"tin":{"type":"ein","value":"203276415"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1033769435],"tin":{"type":"ein","value":"208784604"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1396032447],"tin":{"type":"ein","value":"383816505"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1184720344],"tin":{"type":"ein","value":"203140657"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1689623761],"tin":{"type":"ein","value":"204562526"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1730978362],"tin":{"type":"ein","value":"333316998"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1952429755],"tin":{"type":"ein","value":"462047089"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205372604,1932365228],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386091015],"tin":{"type":"ein","value":"263820269"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1689652265],"tin":{"type":"ein","value":"460848861"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1366985467],"tin":{"type":"ein","value":"471496699"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093396673],"tin":{"type":"ein","value":"233022811"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285706481],"tin":{"type":"ein","value":"260531635"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831236991],"tin":{"type":"ein","value":"320298568"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073613816],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1538926365],"tin":{"type":"ein","value":"260650218"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750830725],"tin":{"type":"ein","value":"464872349"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1962469544],"tin":{"type":"ein","value":"631240726"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1891475638],"tin":{"type":"ein","value":"473381070"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1720473788],"tin":{"type":"ein","value":"471759795"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1497834709],"tin":{"type":"ein","value":"820328732"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073946711],"tin":{"type":"ein","value":"843406462"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1275829301],"tin":{"type":"ein","value":"300463194"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1467719351],"tin":{"type":"ein","value":"454783168"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205080181],"tin":{"type":"ein","value":"300474327"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1720417710],"tin":{"type":"ein","value":"272006180"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073600938],"tin":{"type":"ein","value":"930110095"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1841515517],"tin":{"type":"ein","value":"471497384"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1912653247],"tin":{"type":"ein","value":"465513696"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1740570704],"tin":{"type":"ein","value":"331331176"}}],"network_name":["Voyager - OR PCP type","Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851583249],"tin":{"type":"ein","value":"263095354"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215907704],"tin":{"type":"ein","value":"820371383"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":2,"provider_groups":[{"npi":[1669481974],"tin":{"type":"ein","value":"010812208"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831370741],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881685097],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245482280],"tin":{"type":"ein","value":"263548852"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922127265],"tin":{"type":"ein","value":"453558981"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1659480424],"tin":{"type":"ein","value":"330057155"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922156421],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851483242],"tin":{"type":"ein","value":"421585350"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1235483728],"tin":{"type":"ein","value":"455209647"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386091015],"tin":{"type":"ein","value":"263820269"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790905164],"tin":{"type":"ein","value":"261485288"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1720870595],"tin":{"type":"ein","value":"261120919"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1669720397],"tin":{"type":"ein","value":"455254219"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417927997],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215252408],"tin":{"type":"ein","value":"800595177"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1629056148],"tin":{"type":"ein","value":"473727922"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831148105],"tin":{"type":"ein","value":"061665963"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1972601136],"tin":{"type":"ein","value":"203118061"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073679288],"tin":{"type":"ein","value":"204448671"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1699778720],"tin":{"type":"ein","value":"760742970"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1003813015],"tin":{"type":"ein","value":"460483710"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285679878],"tin":{"type":"ein","value":"453263286"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1033769435],"tin":{"type":"ein","value":"208784604"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1730121401],"tin":{"type":"ein","value":"202447516"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1275025678],"tin":{"type":"ein","value":"392253428"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1679565964],"tin":{"type":"ein","value":"810232122"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750053559],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831236991],"tin":{"type":"ein","value":"320298568"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"752945833"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1952645285],"tin":{"type":"ein","value":"208930123"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164180105],"tin":{"type":"ein","value":"810231787"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1396977393],"tin":{"type":"ein","value":"270705907"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1821030230],"tin":{"type":"ein","value":"461415328"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649350513],"tin":{"type":"ein","value":"203314586"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1134502065],"tin":{"type":"ein","value":"201386476"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851988604],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1134208846],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194857789],"tin":{"type":"ein","value":"220449618"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1538240213],"tin":{"type":"ein","value":"233022811"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1306907308],"tin":{"type":"ein","value":"810515463"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639991540],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1134776131],"tin":{"type":"ein","value":"810512911"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1184720344],"tin":{"type":"ein","value":"203140657"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1588637151],"tin":{"type":"ein","value":"203926936"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1962411983],"tin":{"type":"ein","value":"205264557"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1275516718],"tin":{"type":"ein","value":"200671644"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245255355],"tin":{"type":"ein","value":"472410179"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1083740831],"tin":{"type":"ein","value":"274012525"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1427107424],"tin":{"type":"ein","value":"263208398"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1346276516],"tin":{"type":"ein","value":"272916539"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1265576946],"tin":{"type":"ein","value":"208026947"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1104874890],"tin":{"type":"ein","value":"203140657"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043657687],"tin":{"type":"ein","value":"824823451"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1629224449],"tin":{"type":"ein","value":"260835445"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1770586794],"tin":{"type":"ein","value":"820161600"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1740515261],"tin":{"type":"ein","value":"270222729"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1992147516],"tin":{"type":"ein","value":"262526662"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831370741],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417449810],"tin":{"type":"ein","value":"333567518"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1457749475],"tin":{"type":"ein","value":"471655155"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1053606236],"tin":{"type":"ein","value":"820516012"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164858411],"tin":{"type":"ein","value":"461337794"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1316570757],"tin":{"type":"ein","value":"820399298"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1720170756],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1336532860],"tin":{"type":"ein","value":"474263575"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1528193042],"tin":{"type":"ein","value":"205325228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245482280],"tin":{"type":"ein","value":"263548852"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750769790],"tin":{"type":"ein","value":"263095354"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1083888515],"tin":{"type":"ein","value":"261871008"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1619056199],"tin":{"type":"ein","value":"270170193"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1952645285],"tin":{"type":"ein","value":"208930123"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1174739023],"tin":{"type":"ein","value":"208786792"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1558784413],"tin":{"type":"ein","value":"204057606"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1861687550],"tin":{"type":"ein","value":"260650218"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1447885975],"tin":{"type":"ein","value":"208460477"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1255932059],"tin":{"type":"ein","value":"204333803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1235483728],"tin":{"type":"ein","value":"455209647"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649350513],"tin":{"type":"ein","value":"203314586"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1518911890],"tin":{"type":"ein","value":"203942050"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1700181138],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1487636825],"tin":{"type":"ein","value":"273083641"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1679514509],"tin":{"type":"ein","value":"223065319"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1932766128],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639236011],"tin":{"type":"ein","value":"202674252"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1811045321],"tin":{"type":"ein","value":"810391207"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1265548184],"tin":{"type":"ein","value":"810456714"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1629056148],"tin":{"type":"ein","value":"473727922"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1720116882],"tin":{"type":"ein","value":"203573051"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1275515157],"tin":{"type":"ein","value":"364462300"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215921374],"tin":{"type":"ein","value":"383899499"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1346325594],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1912945544],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790309573],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1659623494],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750539565],"tin":{"type":"ein","value":"680637976"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093350266,1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1861835456],"tin":{"type":"ein","value":"455549944"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1174198006],"tin":{"type":"ein","value":"364989829"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801160379],"tin":{"type":"ein","value":"454524233"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1457444119],"tin":{"type":"ein","value":"262674683"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790798387],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1295958320],"tin":{"type":"ein","value":"461356942"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215262738],"tin":{"type":"ein","value":"261780585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285882431],"tin":{"type":"ein","value":"263258410"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1447982285],"tin":{"type":"ein","value":"205267490"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1669413340],"tin":{"type":"ein","value":"273674492"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1124077029],"tin":{"type":"ein","value":"273674492"}}],"network_name":["Navigator Individual - Specialist Type Providers"]},{"provider_group_id":2,"provider_groups":[{"npi":[1316294531],"tin":{"type":"ein","value":"454551946"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437813409],"tin":{"type":"ein","value":"260185656"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1629005426],"tin":{"type":"ein","value":"273193107"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1770681132],"tin":{"type":"ein","value":"931042118"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1548395197],"tin":{"type":"ein","value":"810255832"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649325580],"tin":{"type":"ein","value":"452738860"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1396766598],"tin":{"type":"ein","value":"363798756"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1457414948],"tin":{"type":"ein","value":"271790052"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1821184888],"tin":{"type":"ein","value":"810463482"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1992050041],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1265481758],"tin":{"type":"ein","value":"204738173"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1740588946],"tin":{"type":"ein","value":"330239910"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1801819842],"tin":{"type":"ein","value":"472706830"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1518384825],"tin":{"type":"ein","value":"472369736"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1932878402],"tin":{"type":"ein","value":"810303913"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1780669820],"tin":{"type":"ein","value":"470926233"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1568027274],"tin":{"type":"ein","value":"463022572"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1922022425],"tin":{"type":"ein","value":"202354326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1013228295],"tin":{"type":"ein","value":"461276002"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1780208157],"tin":{"type":"ein","value":"460828859"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1679809396],"tin":{"type":"ein","value":"271283197"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1902072572],"tin":{"type":"ein","value":"261948511"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1841350527],"tin":{"type":"ein","value":"203161422"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1003397878],"tin":{"type":"ein","value":"371881359"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1821016536],"tin":{"type":"ein","value":"810226578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043597495],"tin":{"type":"ein","value":"472026764"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1972980282],"tin":{"type":"ein","value":"263208398"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1689875833],"tin":{"type":"ein","value":"260167660"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1912228727],"tin":{"type":"ein","value":"271030968"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1285441998],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790751055],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1104309863],"tin":{"type":"ein","value":"461394330"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1467719351],"tin":{"type":"ein","value":"454783168"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639514094],"tin":{"type":"ein","value":"462349174"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1699228403],"tin":{"type":"ein","value":"300794492"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1295066058],"tin":{"type":"ein","value":"815425760"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1487262077],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831370741],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1487073573],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023106655],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1306816863],"tin":{"type":"ein","value":"593406826"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1902033442],"tin":{"type":"ein","value":"204974140"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417225939],"tin":{"type":"ein","value":"263946191"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1013228295],"tin":{"type":"ein","value":"461276002"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851402549],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1609223932],"tin":{"type":"ein","value":"208202094"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750492021],"tin":{"type":"ein","value":"263576221"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1851520514],"tin":{"type":"ein","value":"270199061"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1588768204],"tin":{"type":"ein","value":"810233121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417945627],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1457591166],"tin":{"type":"ein","value":"270333874"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1306875695],"tin":{"type":"ein","value":"581716970"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1821171588],"tin":{"type":"ein","value":"203917534"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1841886447],"tin":{"type":"ein","value":"810264548"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1699228403],"tin":{"type":"ein","value":"300794492"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1568664944],"tin":{"type":"ein","value":"203161362"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1669413340],"tin":{"type":"ein","value":"263095354"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245222306],"tin":{"type":"ein","value":"810378200"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1962464222],"tin":{"type":"ein","value":"262232572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1275577025],"tin":{"type":"ein","value":"202199491"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215012448],"tin":{"type":"ein","value":"208397013"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1104876820],"tin":{"type":"ein","value":"203562579"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1407065956],"tin":{"type":"ein","value":"208049182"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1003982935],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1821171588],"tin":{"type":"ein","value":"203917534"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1619314507],"tin":{"type":"ein","value":"201718201"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1740287911],"tin":{"type":"ein","value":"820436622"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1669720397],"tin":{"type":"ein","value":"455254219"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1336521335],"tin":{"type":"ein","value":"331061786"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1255449013],"tin":{"type":"ein","value":"820497771"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1518911890],"tin":{"type":"ein","value":"203942050"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1730110354],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1306802350],"tin":{"type":"ein","value":"202430574"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1477720399],"tin":{"type":"ein","value":"263299059"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1073679288],"tin":{"type":"ein","value":"204448671"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1598978280],"tin":{"type":"ein","value":"208592848"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881030443],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1235176579],"tin":{"type":"ein","value":"204748673"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1265554984],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1649360777],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1952645285],"tin":{"type":"ein","value":"208930123"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1891191672],"tin":{"type":"ein","value":"463975379"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1750423679],"tin":{"type":"ein","value":"810368698"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1144273566],"tin":{"type":"ein","value":"271130874"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1306241351],"tin":{"type":"ein","value":"472026764"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1467051318],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1992192660],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215687124],"tin":{"type":"ein","value":"203770341"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1093396673],"tin":{"type":"ein","value":"233022811"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1790309573],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1720521008],"tin":{"type":"ein","value":"412033709"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1033165022],"tin":{"type":"ein","value":"301072617"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1598978280],"tin":{"type":"ein","value":"208592848"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1841719713],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215982913],"tin":{"type":"ein","value":"222862167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1447426465],"tin":{"type":"ein","value":"262512237"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1437277993],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164988093],"tin":{"type":"ein","value":"810370945"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1295707776],"tin":{"type":"ein","value":"331046615"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1952797243],"tin":{"type":"ein","value":"473071035"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1982369021],"tin":{"type":"ein","value":"020704040"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164858411],"tin":{"type":"ein","value":"461337794"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1538578398],"tin":{"type":"ein","value":"463866951"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386371367],"tin":{"type":"ein","value":"464707899"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1982245064],"tin":{"type":"ein","value":"204112169"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1386898435],"tin":{"type":"ein","value":"261819228"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1316638778],"tin":{"type":"ein","value":"352461752"}}],"network_name":["Navigator - ID PCP Type","St Luke Navigator (PCP)"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043673627],"tin":{"type":"ein","value":"454415174"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1669586103],"tin":{"type":"ein","value":"264524039"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1871901108],"tin":{"type":"ein","value":"264636862"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1902161946],"tin":{"type":"ein","value":"455560377"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1356115935],"tin":{"type":"ein","value":"271502578"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215252408],"tin":{"type":"ein","value":"800595177"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1881402071],"tin":{"type":"ein","value":"332253581"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1538518105],"tin":{"type":"ein","value":"474461509"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1619751716],"tin":{"type":"ein","value":"465266098"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1043887771],"tin":{"type":"ein","value":"461014294"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1215687124],"tin":{"type":"ein","value":"203770341"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1225060296],"tin":{"type":"ein","value":"911394965"}}],"network_name":["St Luke Navigator (Specialist)","Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1245222306],"tin":{"type":"ein","value":"810378200"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1831280031],"tin":{"type":"ein","value":"311339854"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1023620606],"tin":{"type":"ein","value":"371749452"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1861554669],"tin":{"type":"ein","value":"814005716"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1518954106],"tin":{"type":"ein","value":"810231775"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1306294509],"tin":{"type":"ein","value":"364818318"}}],"network_name":["Oregon SmartHealth Tier 1 Network, PCP Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1366495277],"tin":{"type":"ein","value":"621605726"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1720033459],"tin":{"type":"ein","value":"260553931"}}],"network_name":["Voyager - OR Specialist Type","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1609235134],"tin":{"type":"ein","value":"454959155"}}],"network_name":["Voyager - OR PCP type","Voyager - WA PCP type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1518314756],"tin":{"type":"ein","value":"461062769"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":2,"provider_groups":[{"npi":[1164401634],"tin":{"type":"ein","value":"731676813"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":2,"provider_groups":[{"npi":[1891732905],"tin":{"type":"ein","value":"363525049"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":10,"provider_groups":[{"npi":[1578195285],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1376184374],"tin":{"type":"ein","value":"874446339"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1912240128],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":10,"provider_groups":[{"npi":[1770676447],"tin":{"type":"ein","value":"810536068"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1023017043],"tin":{"type":"ein","value":"911394965"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1306861737],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1417927997],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1730978362],"tin":{"type":"ein","value":"333316998"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1891884086],"tin":{"type":"ein","value":"936002305"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1427188309],"tin":{"type":"ein","value":"463975379"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1811284433],"tin":{"type":"ein","value":"814665203"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1609142595],"tin":{"type":"ein","value":"931279544"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1356389894],"tin":{"type":"ein","value":"930602940"}}],"network_name":["Navigator Individual - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1497730808],"tin":{"type":"ein","value":"930751490"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144626342],"tin":{"type":"ein","value":"271677679"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1508592809],"tin":{"type":"ein","value":"991634151"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1083950885],"tin":{"type":"ein","value":"930791519"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1588802466],"tin":{"type":"ein","value":"205914560"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1376527788],"tin":{"type":"ein","value":"460937592"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1013687631,1639991540],"tin":{"type":"ein","value":"205292745"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1174864102],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1215982913],"tin":{"type":"ein","value":"222862167"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1427470673],"tin":{"type":"ein","value":"823244168"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245085836],"tin":{"type":"ein","value":"882251783"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1336479021],"tin":{"type":"ein","value":"611607211"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1053719781],"tin":{"type":"ein","value":"923400624"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1457591166],"tin":{"type":"ein","value":"270333874"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1497794127],"tin":{"type":"ein","value":"931044853"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1952853491],"tin":{"type":"ein","value":"851997546"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1972180982],"tin":{"type":"ein","value":"931328144"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639288426],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1659656437],"tin":{"type":"ein","value":"453510217"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1104936400],"tin":{"type":"ein","value":"930756143"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1689625980],"tin":{"type":"ein","value":"930396847"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144558172],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1750683058],"tin":{"type":"ein","value":"832587632"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366098600],"tin":{"type":"ein","value":"301130347"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1427283464],"tin":{"type":"ein","value":"872779175"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1023312873],"tin":{"type":"ein","value":"271402749"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1770767360],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1104346964],"tin":{"type":"ein","value":"954641453"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1073600938],"tin":{"type":"ein","value":"930110095"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1265827893],"tin":{"type":"ein","value":"870376400"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1750376299],"tin":{"type":"ein","value":"470615920"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1003315045],"tin":{"type":"ein","value":"460828859"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1538999875],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1922022425],"tin":{"type":"ein","value":"202354326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1598176448],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1942312087],"tin":{"type":"ein","value":"810475376"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1104700897],"tin":{"type":"ein","value":"843463861"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1225169378],"tin":{"type":"ein","value":"931054657"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1699228403],"tin":{"type":"ein","value":"300794492"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063410421],"tin":{"type":"ein","value":"462810421"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1235447970],"tin":{"type":"ein","value":"273311774"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1164945663],"tin":{"type":"ein","value":"844437722"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1659818706],"tin":{"type":"ein","value":"810378200"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366951261],"tin":{"type":"ein","value":"883796666"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1629160908],"tin":{"type":"ein","value":"931013923"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1568765444],"tin":{"type":"ein","value":"823262828"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366738239],"tin":{"type":"ein","value":"931265552"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1568440295],"tin":{"type":"ein","value":"823448311"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":10,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1467978809],"tin":{"type":"ein","value":"931184149"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1548586936],"tin":{"type":"ein","value":"931146901"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1215554068,1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type","Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1871560425],"tin":{"type":"ein","value":"201906973"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1356064000],"tin":{"type":"ein","value":"874809368"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1538736459],"tin":{"type":"ein","value":"844833158"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1952347650],"tin":{"type":"ein","value":"930932697"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1386733327],"tin":{"type":"ein","value":"851146387"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1134302433,1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1689025827],"tin":{"type":"ein","value":"930674282"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1750780268],"tin":{"type":"ein","value":"931269087"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1275279994],"tin":{"type":"ein","value":"260656038"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1760576714],"tin":{"type":"ein","value":"202995060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1568116200],"tin":{"type":"ein","value":"850995860"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1982279675],"tin":{"type":"ein","value":"200041748"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1275784001],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1346649993],"tin":{"type":"ein","value":"931265552"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1467953364],"tin":{"type":"ein","value":"880575655"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1235129248],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437320017],"tin":{"type":"ein","value":"930973443"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1386613883],"tin":{"type":"ein","value":"850880722"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"042530652"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":10,"provider_groups":[{"npi":[1861628331],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1083844401],"tin":{"type":"ein","value":"263634042"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1578165445],"tin":{"type":"ein","value":"421611985"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1598424954],"tin":{"type":"ein","value":"873884081"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1528229366],"tin":{"type":"ein","value":"992307535"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1528186053],"tin":{"type":"ein","value":"269781495"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1356308399],"tin":{"type":"ein","value":"411594648"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1629078274],"tin":{"type":"ein","value":"931071748"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1699217869],"tin":{"type":"ein","value":"930587572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366719460],"tin":{"type":"ein","value":"872638041"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1811062524],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1740260801],"tin":{"type":"ein","value":"753085499"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1710944277],"tin":{"type":"ein","value":"930973443"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1972542173],"tin":{"type":"ein","value":"461062769"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1679939318],"tin":{"type":"ein","value":"475641623"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1235483728],"tin":{"type":"ein","value":"455209647"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1073905758],"tin":{"type":"ein","value":"901145058"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1295738375],"tin":{"type":"ein","value":"431980819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1841649969],"tin":{"type":"ein","value":"933553565"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1679252282],"tin":{"type":"ein","value":"462738911"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1356573059],"tin":{"type":"ein","value":"203806300"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1558676643],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1730568130],"tin":{"type":"ein","value":"471196928"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245599224],"tin":{"type":"ein","value":"931305493"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1033384847,1588809834],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1336171313],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639969637],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1275516742],"tin":{"type":"ein","value":"201426440"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639675101],"tin":{"type":"ein","value":"203659481"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649441411],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1629527445],"tin":{"type":"ein","value":"874650553"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1164835351],"tin":{"type":"ein","value":"332136631"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396032447],"tin":{"type":"ein","value":"383816505"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1265409916],"tin":{"type":"ein","value":"201545427"}}],"network_name":["Voyager - OR PCP type","Legacy+ PCP-type Providers"]},{"provider_group_id":10,"provider_groups":[{"npi":[1215950464],"tin":{"type":"ein","value":"262764832"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1558784413],"tin":{"type":"ein","value":"204057606"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1871972224],"tin":{"type":"ein","value":"453951495"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1699092718],"tin":{"type":"ein","value":"272251833"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1609887413],"tin":{"type":"ein","value":"263638838"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396835351],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801647078],"tin":{"type":"ein","value":"911641797"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":10,"provider_groups":[{"npi":[1619998648],"tin":{"type":"ein","value":"200197438"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1588041388],"tin":{"type":"ein","value":"462796848"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1659850659],"tin":{"type":"ein","value":"472294770"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1548320435],"tin":{"type":"ein","value":"826004163"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1255571550],"tin":{"type":"ein","value":"911367068"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1659850659],"tin":{"type":"ein","value":"472294770"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1922046135],"tin":{"type":"ein","value":"930400952"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1346298361],"tin":{"type":"ein","value":"843261579"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1861271629],"tin":{"type":"ein","value":"870838787"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1730236704],"tin":{"type":"ein","value":"880918611"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1942790555],"tin":{"type":"ein","value":"825091882"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1326079609],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1497511760],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1609808724],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1174818819],"tin":{"type":"ein","value":"810232124"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1487029856],"tin":{"type":"ein","value":"851018690"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1356414395],"tin":{"type":"ein","value":"936002615"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366951261],"tin":{"type":"ein","value":"883796666"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366526147],"tin":{"type":"ein","value":"931302677"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1275784001],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1346685583,1609808724],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831709567],"tin":{"type":"ein","value":"844611368"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1043903420],"tin":{"type":"ein","value":"931450532"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144077769],"tin":{"type":"ein","value":"930921282"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1306802350],"tin":{"type":"ein","value":"202430574"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1215554068,1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1861771073],"tin":{"type":"ein","value":"081423640"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1346685583],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1215554068,1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type","Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1740535798],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1316272875],"tin":{"type":"ein","value":"200069475"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1346276516],"tin":{"type":"ein","value":"272916539"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1073899613],"tin":{"type":"ein","value":"936002332"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1629712161],"tin":{"type":"ein","value":"881508250"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1225105919],"tin":{"type":"ein","value":"816001366"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1518521657],"tin":{"type":"ein","value":"842290037"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821273087],"tin":{"type":"ein","value":"931265020"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1598479883],"tin":{"type":"ein","value":"883885001"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669453353],"tin":{"type":"ein","value":"911619200"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1811575079],"tin":{"type":"ein","value":"843244265"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1013531979],"tin":{"type":"ein","value":"842249644"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1760998272],"tin":{"type":"ein","value":"954836285"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1356865869],"tin":{"type":"ein","value":"930605174"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1811242555],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063552065],"tin":{"type":"ein","value":"200322931"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1972567857],"tin":{"type":"ein","value":"910894931"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1518242668],"tin":{"type":"ein","value":"453948727"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639182116],"tin":{"type":"ein","value":"830987826"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1104890011],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1487375010],"tin":{"type":"ein","value":"262343447"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1134218118],"tin":{"type":"ein","value":"611606811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1518136308],"tin":{"type":"ein","value":"810236460"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1710133764],"tin":{"type":"ein","value":"460828859"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1003639733],"tin":{"type":"ein","value":"993325091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1548817174],"tin":{"type":"ein","value":"371749452"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669891032],"tin":{"type":"ein","value":"465369942"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1114016508],"tin":{"type":"ein","value":"931224672"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1982673927],"tin":{"type":"ein","value":"330995351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477677730],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1033702287],"tin":{"type":"ein","value":"822465485"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator LEHP - OR Specialist Type (Exclude OHSU)"]},{"provider_group_id":10,"provider_groups":[{"npi":[1689623761],"tin":{"type":"ein","value":"204562526"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1417278011],"tin":{"type":"ein","value":"270616665"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1124769823],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477002228],"tin":{"type":"ein","value":"813757821"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1598247140],"tin":{"type":"ein","value":"850606508"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1003982935],"tin":{"type":"ein","value":"363808993"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1932234663],"tin":{"type":"ein","value":"810258933"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669459525],"tin":{"type":"ein","value":"911632781"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1205871050],"tin":{"type":"ein","value":"911836091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1164522702],"tin":{"type":"ein","value":"113782530"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1740370626],"tin":{"type":"ein","value":"826001195"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1073697504],"tin":{"type":"ein","value":"821878518"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1902104912],"tin":{"type":"ein","value":"823101320"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1467823625],"tin":{"type":"ein","value":"464727800"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1356574412],"tin":{"type":"ein","value":"930511355"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1003813015],"tin":{"type":"ein","value":"460483710"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1538715347],"tin":{"type":"ein","value":"930910794"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1912061755],"tin":{"type":"ein","value":"930611783"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437444619],"tin":{"type":"ein","value":"930421470"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1073053351],"tin":{"type":"ein","value":"464707899"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477698173],"tin":{"type":"ein","value":"922205910"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1154569382,1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1912990664],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821121344],"tin":{"type":"ein","value":"930619501"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1114668852],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"930395583"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1073510277],"tin":{"type":"ein","value":"910564987"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1730231838],"tin":{"type":"ein","value":"930714617"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1376013987],"tin":{"type":"ein","value":"995039340"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1972808723],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1588674279],"tin":{"type":"ein","value":"201296836"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396032447],"tin":{"type":"ein","value":"383816505"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1023336146],"tin":{"type":"ein","value":"272398215"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1780695387],"tin":{"type":"ein","value":"810537026"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1134146939],"tin":{"type":"ein","value":"930583856"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1841451853],"tin":{"type":"ein","value":"930622075"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1487620472],"tin":{"type":"ein","value":"931273946"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1760197990],"tin":{"type":"ein","value":"841809420"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1457331068],"tin":{"type":"ein","value":"930606316"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366978223],"tin":{"type":"ein","value":"882371884"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1255433520],"tin":{"type":"ein","value":"931315468"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245985316],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1811665367],"tin":{"type":"ein","value":"911020139"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1124864566],"tin":{"type":"ein","value":"931234820"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"311339854"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1902042781],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1003208612],"tin":{"type":"ein","value":"200292246"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1013212489],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1922388255],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1255311106],"tin":{"type":"ein","value":"261100319"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1568143857],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1598236929],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1427672773],"tin":{"type":"ein","value":"844582670"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1750601423],"tin":{"type":"ein","value":"475058612"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1710368139],"tin":{"type":"ein","value":"831914208"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1952464448],"tin":{"type":"ein","value":"473824855"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1023095825,1972091700],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1093732901],"tin":{"type":"ein","value":"201728413"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1932635364],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1417676289],"tin":{"type":"ein","value":"200022831"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1609142595],"tin":{"type":"ein","value":"931279544"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669751392],"tin":{"type":"ein","value":"452222357"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1346282035],"tin":{"type":"ein","value":"930645605"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1811296486],"tin":{"type":"ein","value":"271732663"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1013228295],"tin":{"type":"ein","value":"461276002"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1932658101],"tin":{"type":"ein","value":"922465422"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245285923],"tin":{"type":"ein","value":"465224638"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063733293],"tin":{"type":"ein","value":"820750490"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1568116200],"tin":{"type":"ein","value":"850995860"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063525988],"tin":{"type":"ein","value":"810519587"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1538461603],"tin":{"type":"ein","value":"823600417"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1053753988],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1851669584],"tin":{"type":"ein","value":"453940402"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1053713487],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1255081626],"tin":{"type":"ein","value":"922944385"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1699778720],"tin":{"type":"ein","value":"851957704"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1427142231],"tin":{"type":"ein","value":"810439198"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1427472422],"tin":{"type":"ein","value":"571181758"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1043657687],"tin":{"type":"ein","value":"824823451"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1003894957],"tin":{"type":"ein","value":"911589064"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1659035830],"tin":{"type":"ein","value":"931234347"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1679939318],"tin":{"type":"ein","value":"475641623"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1417983479],"tin":{"type":"ein","value":"200292246"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1407345614],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1376013987],"tin":{"type":"ein","value":"995039340"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1003043704],"tin":{"type":"ein","value":"930583856"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1124393939],"tin":{"type":"ein","value":"155675546"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649874215],"tin":{"type":"ein","value":"043845223"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1619590221],"tin":{"type":"ein","value":"930407781"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1033405485],"tin":{"type":"ein","value":"863165381"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1134302433,1326079609,1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1952355935],"tin":{"type":"ein","value":"820436622"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1689625980],"tin":{"type":"ein","value":"930396847"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477645570],"tin":{"type":"ein","value":"900081433"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1306265483],"tin":{"type":"ein","value":"911308575"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1326000407],"tin":{"type":"ein","value":"201514446"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1548366644],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1851665624],"tin":{"type":"ein","value":"910896241"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1881919348],"tin":{"type":"ein","value":"930751490"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245239060],"tin":{"type":"ein","value":"820466466"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":10,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1700806510],"tin":{"type":"ein","value":"922944385"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1710247739],"tin":{"type":"ein","value":"272333127"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1932609245],"tin":{"type":"ein","value":"911814404"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"933416318"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1104237700],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1104700897],"tin":{"type":"ein","value":"843463861"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1841292307],"tin":{"type":"ein","value":"820226453"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063722866],"tin":{"type":"ein","value":"520136561"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1568019644],"tin":{"type":"ein","value":"931329158"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1962464222],"tin":{"type":"ein","value":"262232572"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1578195285],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063961951],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063552065],"tin":{"type":"ein","value":"200322931"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1841350527],"tin":{"type":"ein","value":"203161422"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1740515261],"tin":{"type":"ein","value":"270222729"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1912945544],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1073788774],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1568557684],"tin":{"type":"ein","value":"260616414"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1629224449],"tin":{"type":"ein","value":"260835445"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144558172],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1336339662],"tin":{"type":"ein","value":"943136426"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1578544342],"tin":{"type":"ein","value":"931160259"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1225726326],"tin":{"type":"ein","value":"384043446"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1659936698],"tin":{"type":"ein","value":"911814404"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1225045370],"tin":{"type":"ein","value":"816001417"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1407337082],"tin":{"type":"ein","value":"203573051"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396581625],"tin":{"type":"ein","value":"873505345"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1528364528],"tin":{"type":"ein","value":"462259078"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1619955978],"tin":{"type":"ein","value":"133757370"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1932258563],"tin":{"type":"ein","value":"930557803"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1992844575],"tin":{"type":"ein","value":"461621786"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1003551425],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1811429236],"tin":{"type":"ein","value":"931292903"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1861441867],"tin":{"type":"ein","value":"820465077"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1255433520],"tin":{"type":"ein","value":"931315468"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1780959007],"tin":{"type":"ein","value":"452481484"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1730132820],"tin":{"type":"ein","value":"911011434"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1811500705],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1073338810],"tin":{"type":"ein","value":"816017655"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1588953434],"tin":{"type":"ein","value":"471196928"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1568772531],"tin":{"type":"ein","value":"753049885"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1386303212],"tin":{"type":"ein","value":"816016920"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1457023244],"tin":{"type":"ein","value":"421583605"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1770291924],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1003269481],"tin":{"type":"ein","value":"930386936"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1316017585],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1740623966],"tin":{"type":"ein","value":"826041596"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1043376551],"tin":{"type":"ein","value":"931263503"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1619314507],"tin":{"type":"ein","value":"201718201"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1609438696],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"930429015"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1750495214],"tin":{"type":"ein","value":"930933525"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649299033],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1750855425],"tin":{"type":"ein","value":"930786292"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669531224],"tin":{"type":"ein","value":"810537171"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1093782534],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1588674279],"tin":{"type":"ein","value":"201296836"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801978135],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1235293689],"tin":{"type":"ein","value":"071601414"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1083752257],"tin":{"type":"ein","value":"200975397"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1700245594],"tin":{"type":"ein","value":"364823048"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1952554982],"tin":{"type":"ein","value":"816001343"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1619149960],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1356574412],"tin":{"type":"ein","value":"930511355"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1083633184],"tin":{"type":"ein","value":"931329158"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1104878859],"tin":{"type":"ein","value":"911394965"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1992238091],"tin":{"type":"ein","value":"813572126"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1275784001],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1073613816],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1699073148],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1528611530],"tin":{"type":"ein","value":"272237519"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1891732905],"tin":{"type":"ein","value":"363525049"}}],"network_name":["St Luke (BrightPath)- Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1316597339],"tin":{"type":"ein","value":"931194184"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1386480788],"tin":{"type":"ein","value":"993563851"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366529638],"tin":{"type":"ein","value":"931307280"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1205946381],"tin":{"type":"ein","value":"832587632"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1023524121],"tin":{"type":"ein","value":"465513696"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1174968416],"tin":{"type":"ein","value":"841392819"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366532376],"tin":{"type":"ein","value":"930642535"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821435827],"tin":{"type":"ein","value":"454607681"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1578871521],"tin":{"type":"ein","value":"930513669"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1083945695],"tin":{"type":"ein","value":"911394965"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063961951],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1104394337],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1922581271],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801841267],"tin":{"type":"ein","value":"202897489"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1194901785],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1336413459],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1083341309],"tin":{"type":"ein","value":"465513696"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1730121401],"tin":{"type":"ein","value":"202447516"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063159309],"tin":{"type":"ein","value":"201386476"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1841214327],"tin":{"type":"ein","value":"930738493"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1265609945],"tin":{"type":"ein","value":"911394965"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1275820714],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245255355],"tin":{"type":"ein","value":"472410179"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1407860745],"tin":{"type":"ein","value":"841401625"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1215191416],"tin":{"type":"ein","value":"810478374"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1679905632],"tin":{"type":"ein","value":"920800911"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1972864262],"tin":{"type":"ein","value":"851057600"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437199254],"tin":{"type":"ein","value":"921281848"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1962462614],"tin":{"type":"ein","value":"911753075"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1720692007],"tin":{"type":"ein","value":"930604944"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1265481758],"tin":{"type":"ein","value":"204738173"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1568801892,1881899417],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1164587754],"tin":{"type":"ein","value":"502780707"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1811954662],"tin":{"type":"ein","value":"411577266"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1447034061],"tin":{"type":"ein","value":"931095199"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1851483242],"tin":{"type":"ein","value":"421585350"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1770991804],"tin":{"type":"ein","value":"862327525"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1609016690],"tin":{"type":"ein","value":"824646909"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366849879],"tin":{"type":"ein","value":"931173927"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1295490118],"tin":{"type":"ein","value":"461228277"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1992044770],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1376991521],"tin":{"type":"ein","value":"454827853"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366931412],"tin":{"type":"ein","value":"882242068"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1720040132],"tin":{"type":"ein","value":"330592165"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"383816505"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1407345614],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1376772798],"tin":{"type":"ein","value":"911853574"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1922372747],"tin":{"type":"ein","value":"461048411"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1811500705],"tin":{"type":"ein","value":"202021091"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1881620839],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1982963930],"tin":{"type":"ein","value":"352443822"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1972690923],"tin":{"type":"ein","value":"862030930"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144258385],"tin":{"type":"ein","value":"931071248"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1740026178],"tin":{"type":"ein","value":"993563851"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1588658074],"tin":{"type":"ein","value":"912109096"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1255839627],"tin":{"type":"ein","value":"880575655"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1518049642],"tin":{"type":"ein","value":"930386936"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477816965],"tin":{"type":"ein","value":"455466463"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669032975],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1205531175],"tin":{"type":"ein","value":"923175471"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1003635921],"tin":{"type":"ein","value":"371840416"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1992161814],"tin":{"type":"ein","value":"930611783"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366827859],"tin":{"type":"ein","value":"853739093"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1417287137],"tin":{"type":"ein","value":"271402985"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1265674071],"tin":{"type":"ein","value":"474006939"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":10,"provider_groups":[{"npi":[1285068023],"tin":{"type":"ein","value":"872960539"}}],"network_name":["Montana PacificSource Network"]},{"provider_group_id":10,"provider_groups":[{"npi":[1689444291],"tin":{"type":"ein","value":"200496245"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821171588],"tin":{"type":"ein","value":"203917534"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1760542724],"tin":{"type":"ein","value":"931056916"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1558747576],"tin":{"type":"ein","value":"824215446"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1891207320],"tin":{"type":"ein","value":"930505325"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1407842313],"tin":{"type":"ein","value":"931297168"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1538462957],"tin":{"type":"ein","value":"900380178"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1336413459],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1881985976],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1972553097],"tin":{"type":"ein","value":"931143366"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366538811],"tin":{"type":"ein","value":"931248610"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1932472677],"tin":{"type":"ein","value":"931071248"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801571260],"tin":{"type":"ein","value":"861758227"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1154157386],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1811242555],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831315829],"tin":{"type":"ein","value":"930884808"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1992316251],"tin":{"type":"ein","value":"844303463"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1881588820],"tin":{"type":"ein","value":"843379970"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1578871521],"tin":{"type":"ein","value":"930513669"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1093724247],"tin":{"type":"ein","value":"930742829"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1033968193],"tin":{"type":"ein","value":"930706892"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477311488],"tin":{"type":"ein","value":"991876287"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1457067134],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1013944156],"tin":{"type":"ein","value":"911786292"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477101509],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063475259],"tin":{"type":"ein","value":"576849001"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1851371959],"tin":{"type":"ein","value":"470917144"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs","Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669720397],"tin":{"type":"ein","value":"455254219"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1710958491],"tin":{"type":"ein","value":"994301877"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"931071868"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"936000566"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1316216112],"tin":{"type":"ein","value":"930569684"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1932176997],"tin":{"type":"ein","value":"851430172"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1356343263],"tin":{"type":"ein","value":"813229326"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649055005],"tin":{"type":"ein","value":"872818912"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1083645022],"tin":{"type":"ein","value":"930808743"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1033132238],"tin":{"type":"ein","value":"330057155"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1093749756],"tin":{"type":"ein","value":"930583856"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821001736],"tin":{"type":"ein","value":"930748388"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1689985830],"tin":{"type":"ein","value":"930606087"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1588809834],"tin":{"type":"ein","value":"991528558"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1417449810],"tin":{"type":"ein","value":"870838787"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1881899417],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1053106039],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1194260406],"tin":{"type":"ein","value":"841830829"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1033869987],"tin":{"type":"ein","value":"816001269"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144866492],"tin":{"type":"ein","value":"844582670"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649862384],"tin":{"type":"ein","value":"990743170"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1689892473],"tin":{"type":"ein","value":"910787084"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1548422645],"tin":{"type":"ein","value":"930386936"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"931327701"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1902806375],"tin":{"type":"ein","value":"330995351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1497913008],"tin":{"type":"ein","value":"300336703"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649299033],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1225643554],"tin":{"type":"ein","value":"141933430"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1013987460],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1275093999],"tin":{"type":"ein","value":"333567518"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649276734],"tin":{"type":"ein","value":"930391614"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1194442681],"tin":{"type":"ein","value":"920808221"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1578501771],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1386814333],"tin":{"type":"ein","value":"931173927"}}],"network_name":["Navigator Individual - Specialist Type Providers","Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1386611747],"tin":{"type":"ein","value":"816001410"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1629275037],"tin":{"type":"ein","value":"463252946"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639969637],"tin":{"type":"ein","value":"202252101"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1467803106],"tin":{"type":"ein","value":"932092467"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649786500],"tin":{"type":"ein","value":"461843598"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1891114468],"tin":{"type":"ein","value":"910866217"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1912223587],"tin":{"type":"ein","value":"931070433"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1013952373],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1033968193],"tin":{"type":"ein","value":"930706892"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649279183],"tin":{"type":"ein","value":"810247706"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821286501],"tin":{"type":"ein","value":"931307974"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1043259104],"tin":{"type":"ein","value":"834387792"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1760479885],"tin":{"type":"ein","value":"742152396"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1528006301],"tin":{"type":"ein","value":"200214051"}}],"network_name":["Voyager - OR Specialist Type","Legacy+ Specialist-type Provs Inc Legacy Fac's"]},{"provider_group_id":10,"provider_groups":[{"npi":[1629783295],"tin":{"type":"ein","value":"364851166"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396203428],"tin":{"type":"ein","value":"263757202"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1013212489],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1083994867],"tin":{"type":"ein","value":"301176325"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649797770],"tin":{"type":"ein","value":"810231784"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1548355811],"tin":{"type":"ein","value":"826003449"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1629712161],"tin":{"type":"ein","value":"881508250"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1912670795],"tin":{"type":"ein","value":"862818663"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1700263829],"tin":{"type":"ein","value":"870696803"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366504532],"tin":{"type":"ein","value":"202333409"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437100328,1780604306],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1366871493],"tin":{"type":"ein","value":"943342387"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1134205198],"tin":{"type":"ein","value":"542124360"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1952977480],"tin":{"type":"ein","value":"862540138"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1124769823],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1073967766],"tin":{"type":"ein","value":"812073193"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649683244],"tin":{"type":"ein","value":"462163622"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1619988144],"tin":{"type":"ein","value":"820146328"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649350513],"tin":{"type":"ein","value":"203314586"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1619534609],"tin":{"type":"ein","value":"841831645"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1104878610],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1548208440],"tin":{"type":"ein","value":"930587431"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1952554982],"tin":{"type":"ein","value":"816001343"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1295037042,1922388255],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1376788125],"tin":{"type":"ein","value":"991528558"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639659220],"tin":{"type":"ein","value":"874401463"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1205986403],"tin":{"type":"ein","value":"202100194"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1033575907],"tin":{"type":"ein","value":"923490040"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669091062],"tin":{"type":"ein","value":"922059632"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801841267],"tin":{"type":"ein","value":"202897489"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1619955978],"tin":{"type":"ein","value":"133757370"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831680347],"tin":{"type":"ein","value":"852333224"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":10,"provider_groups":[{"npi":[1861771073],"tin":{"type":"ein","value":"081423640"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1285679878],"tin":{"type":"ein","value":"453263286"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1730564378],"tin":{"type":"ein","value":"912090581"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1164427951],"tin":{"type":"ein","value":"930407781"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1629007315],"tin":{"type":"ein","value":"200711628"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1841526332],"tin":{"type":"ein","value":"450226558"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":10,"provider_groups":[{"npi":[1780610915],"tin":{"type":"ein","value":"916001738"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1659891505],"tin":{"type":"ein","value":"821525906"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063733293],"tin":{"type":"ein","value":"820750490"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1710286596],"tin":{"type":"ein","value":"201378738"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1780797506],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"823080724"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1124641006],"tin":{"type":"ein","value":"260185656"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1932083441],"tin":{"type":"ein","value":"332564032"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1760455687],"tin":{"type":"ein","value":"916000960"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1104394337,1104878610],"tin":{"type":"ein","value":"043830645"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1154343309],"tin":{"type":"ein","value":"155675546"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1457067134],"tin":{"type":"ein","value":"201056268"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1215012448],"tin":{"type":"ein","value":"208397013"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1316017585],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1639288426],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821547985],"tin":{"type":"ein","value":"201443158"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1881897932],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1588645626],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1982315891],"tin":{"type":"ein","value":"951519327"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1073941266],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1447300132],"tin":{"type":"ein","value":"810367074"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1497095467],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1265545099],"tin":{"type":"ein","value":"930636837"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1205531175],"tin":{"type":"ein","value":"923175471"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821781931],"tin":{"type":"ein","value":"923885744"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063410421],"tin":{"type":"ein","value":"462810421"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1073633533],"tin":{"type":"ein","value":"930386936"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1871016071],"tin":{"type":"ein","value":"611847517"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1982924593],"tin":{"type":"ein","value":"463805150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1851466643],"tin":{"type":"ein","value":"931319142"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1346613429],"tin":{"type":"ein","value":"910851599"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1659409241],"tin":{"type":"ein","value":"931126853"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1659774792],"tin":{"type":"ein","value":"822865599"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801066139],"tin":{"type":"ein","value":"814849012"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144215542],"tin":{"type":"ein","value":"930602940"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1578721866],"tin":{"type":"ein","value":"931184149"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1124396544],"tin":{"type":"ein","value":"454030103"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1952479537],"tin":{"type":"ein","value":"810224734"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1285770958],"tin":{"type":"ein","value":"541646245"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1154562825],"tin":{"type":"ein","value":"465125403"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1104809946],"tin":{"type":"ein","value":"930855011"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1730978362],"tin":{"type":"ein","value":"333316998"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1912641788],"tin":{"type":"ein","value":"842331435"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1497192488],"tin":{"type":"ein","value":"823338970"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245605534],"tin":{"type":"ein","value":"830855237"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":10,"provider_groups":[{"npi":[1285068023],"tin":{"type":"ein","value":"872960539"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1861496804],"tin":{"type":"ein","value":"271021561"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1922381565],"tin":{"type":"ein","value":"834018063"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1982067450],"tin":{"type":"ein","value":"463252946"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144245085],"tin":{"type":"ein","value":"201386476"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1619998648],"tin":{"type":"ein","value":"200197438"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1699073148],"tin":{"type":"ein","value":"273781010"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1043376551],"tin":{"type":"ein","value":"931263503"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1164529780],"tin":{"type":"ein","value":"931215381"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1952331282],"tin":{"type":"ein","value":"936002451"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1891329330],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1649448804],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1104890011],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1093226318],"tin":{"type":"ein","value":"462239207"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1144626342],"tin":{"type":"ein","value":"271677679"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1801657887],"tin":{"type":"ein","value":"830787968"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1174070049],"tin":{"type":"ein","value":"862395519"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1023190469],"tin":{"type":"ein","value":"263946191"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1407855240],"tin":{"type":"ein","value":"870533822"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":10,"provider_groups":[{"npi":[1336149517],"tin":{"type":"ein","value":"934491454"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1578614798],"tin":{"type":"ein","value":"820536110"}}],"network_name":["Navigator - ID PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063455418],"tin":{"type":"ein","value":"931896575"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437540507],"tin":{"type":"ein","value":"911109753"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1881620839],"tin":{"type":"ein","value":"200323819"}}],"network_name":["PacificSource Statewide Network (PSN)"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1669424354],"tin":{"type":"ein","value":"930281321"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821375676],"tin":{"type":"ein","value":"930395591"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1063788313],"tin":{"type":"ein","value":"993048510"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1225003213],"tin":{"type":"ein","value":"911407221"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1124078969],"tin":{"type":"ein","value":"911109753"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821206285],"tin":{"type":"ein","value":"931305267"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1699745794],"tin":{"type":"ein","value":"911797454"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1568834984],"tin":{"type":"ein","value":"931279544"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1447910286],"tin":{"type":"ein","value":"881616376"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1033321914],"tin":{"type":"ein","value":"863893513"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831605138],"tin":{"type":"ein","value":"863982628"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1356389894],"tin":{"type":"ein","value":"930602940"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1821206285],"tin":{"type":"ein","value":"931305267"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1326003773],"tin":{"type":"ein","value":"931135814"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1114470796],"tin":{"type":"ein","value":"930605174"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1306804588],"tin":{"type":"ein","value":"931127631"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1437165461],"tin":{"type":"ein","value":"200019489"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1831259316],"tin":{"type":"ein","value":"161782917"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1518651322],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1811258296],"tin":{"type":"ein","value":"931194184"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":10,"provider_groups":[{"npi":[1124286307],"tin":{"type":"ein","value":"910845805"}}],"network_name":["Voyager - WA Specialist Type","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":["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":[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":[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"]},{"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":[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":[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"]}]}
