{"chunk_id":-2,"reporting_entity_name":"PacificSource Health Plans","reporting_entity_type":"Health Insurance Issuer","plan_name":"ID SmartHealth Value Bronze","plan_id_type":"ein","last_updated_on":"2026-06-10","version":"2.0.1","in_network":[{"negotiation_arrangement":"ffs","name":"Smoking status and exposure to secondhand smoke in the home not assessed, reason not specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8751","description":"Smoking status and exposure to secondhand smoke in the home not assessed, reason not specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"20+ Cc Syringe Only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4213","description":"20+ Cc Syringe Only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1.22,"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 0.6-1.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11441","description":"Excise, Benign Skin Lesion, Incl Margins, Face/Ears/Eyelids/Nose/Lips/Muco; Excised Diam 0.6-1.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":252.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home therapy; enteral nutrition via pump","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9342","description":"Home therapy; enteral nutrition via pump","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Tumor, Soft Tissue of Foot or Toe, Subfascial (eg, Intramuscular); 1.5 cm or greater","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28041","description":"Excision, Tumor, Soft Tissue of Foot or Toe, Subfascial (eg, Intramuscular); 1.5 cm or greater","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":697.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemoglobin Fractionation & Quantitation; Electrophoresis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83020","description":"Hemoglobin Fractionation & Quantitation; Electrophoresis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":14.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37241","description":"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7114.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, imetelstat, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0870","description":"Injection, imetelstat, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Monitor, Localization, Cerebral Seizure Focus, Portable 16+ Eeg, Interpretation, Each 24 Hrs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95953","description":"Monitor, Localization, Cerebral Seizure Focus, Portable 16+ Eeg, Interpretation, Each 24 Hrs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":636.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infiltration of sustained release therapeutic drug – single or multiple sites","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9613","description":"Infiltration of sustained release therapeutic drug – single or multiple sites","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, W/Other Than Vein; Iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35665","description":"Bypass Graft, W/Other Than Vein; Iliofemoral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1824.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inguinofemoral Lymphadenectomy, Superficial, W/Cloquets Node (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38760","description":"Inguinofemoral Lymphadenectomy, Superficial, W/Cloquets Node (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1292.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1292.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Resin - One Surface, Anterior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2330","description":"Resin - One Surface, Anterior","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":84.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, head control interface, mechanical, proportional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2327","description":"Power wheelchair accessory, head control interface, mechanical, proportional","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5707.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":307.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":3086.64,"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 4,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CFN4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Retrobulbar Injection; Medication (Sep Proc, Medication Not Included)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67500","description":"Retrobulbar Injection; Medication (Sep Proc, Medication Not Included)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":117.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Tetralogy, Fallot W/Pulm Atresia W/Construct Conduit, Rt Vent To Pulm Artry W/Closure Defect","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33697","description":"Repair Tetralogy, Fallot W/Pulm Atresia W/Construct Conduit, Rt Vent To Pulm Artry W/Closure Defect","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3178.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Tumor, Soft Tissue of Abdominal Wall, Subcutaneous; less than 3 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22902","description":"Excision, Tumor, Soft Tissue of Abdominal Wall, Subcutaneous; less than 3 cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":664.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0652T","description":"Esophagogastroduodenoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":280.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remote monitoring of wireless pulm artery pressure sensor up to 30 days, incl at least weekly downloads of pulm artery pressure recordings, interp(s), trend alys, report(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93264","description":"Remote monitoring of wireless pulm artery pressure sensor up to 30 days, incl at least weekly downloads of pulm artery pressure recordings, interp(s), trend alys, report(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":96.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ostectomy, Partial Excision, 5th Metatarsal Head (Bunionette) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28110","description":"Ostectomy, Partial Excision, 5th Metatarsal Head (Bunionette) (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":709.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Creation of subcutaneous pocket with insertion of 365 day implantable interstitial glucose sensor, including system activation and patient training","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0564","description":"Creation of subcutaneous pocket with insertion of 365 day implantable interstitial glucose sensor, including system activation and patient training","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Congo Red Blood Test","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P2029","description":"Congo Red Blood Test","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroplasty W/Prosthetic Replacement; Distal Ulna","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25442","description":"Arthroplasty W/Prosthetic Replacement; Distal Ulna","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1225.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient had more than one emergency department visit in the last 30 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9850","description":"Patient had more than one emergency department visit in the last 30 days of life","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home therapy; hematopoietic hormone injection therapy (e.g., Crythropoietin, G-CSF, GM-CSF)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9537","description":"Home therapy; hematopoietic hormone injection therapy (e.g., Crythropoietin, G-CSF, GM-CSF)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Laceration; Cornea &/Or Sclera, Perforating, Not Involving Uveal Tissue","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65280","description":"Repair, Laceration; Cornea &/Or Sclera, Perforating, Not Involving Uveal Tissue","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1009.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Computer Assisted Musculoskeletal Surgical Navigational Orthopedic Procedure, Image-Guidance Based On Ct and MRI Images","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0055T","description":"Computer Assisted Musculoskeletal Surgical Navigational Orthopedic Procedure, Image-Guidance Based On Ct and MRI Images","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":196.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Sternoclavicular Dislocation, Acute/Chronic;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23530","description":"Open Treatment, Sternoclavicular Dislocation, Acute/Chronic;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":867.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage, Ovarian Abscess; Vaginal Approach, Open","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58820","description":"Drainage, Ovarian Abscess; Vaginal Approach, Open","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":492.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CGM6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repl Leath Cuff Kafo Prox Th","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4100","description":"Repl Leath Cuff Kafo Prox Th","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.01,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":124.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8427","description":"Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BHP6","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oxygen System Gas Portable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0430","description":"Oxygen System Gas Portable","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2260.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1228.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using analysis of functional data, and bone-mineral density, utilizing data from a CT scan; retrieval and transmission of the scan data","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0555T","description":"Bone strength and fracture risk using analysis of functional data, and bone-mineral density, utilizing data from a CT scan; retrieval and transmission of the scan data","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion; Metatarsal, W/Wo Bone Graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28322","description":"Repair, Nonunion/Malunion; Metatarsal, W/Wo Bone Graft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1203.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pharmacologic therapy for osteoporosis was not prescribed, reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8635","description":"Pharmacologic therapy for osteoporosis was not prescribed, reason not otherwise specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Angina Absent (Cad)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1012F","description":"Angina Absent (Cad)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, adalimumab-ryvk biosimilar, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5142","description":"Injection, adalimumab-ryvk biosimilar, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Echography, Transrectal; Prostate Volume Study, Brachytherapy Planning","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76873","description":"Echography, Transrectal; Prostate Volume Study, Brachytherapy Planning","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":139.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":257.58,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":117.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Gastrectomy, Partial, Distal; W/Gastroduodenostomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43631","description":"Gastrectomy, Partial, Distal; W/Gastroduodenostomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2227.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Modality To 1+ Areas; Traction, Mechanical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97012","description":"Application, Modality To 1+ Areas; Traction, Mechanical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Candida","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86628","description":"Antibody; Candida","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.21,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Removal Foreign Body, Inraocular, Posterior Segment, Magnetic Extraction, Anterior/Post Route","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65260","description":"Removal Foreign Body, Inraocular, Posterior Segment, Magnetic Extraction, Anterior/Post Route","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1442.66,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1442.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9411","description":"Patient not admitted within 180 days, status post cied implantation, replacement, or revision with an infection requiring device removal or surgical revision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Capsulotomy; Metatarsophalangeal Joint, W/Wo Tenorrhaphy, Each Joint, (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28270","description":"Capsulotomy; Metatarsophalangeal Joint, W/Wo Tenorrhaphy, Each Joint, (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":754.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thawing & Expansion, Frozen Cells, Each Aliquot","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88241","description":"Thawing & Expansion, Frozen Cells, Each Aliquot","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative; Single Step, Nos, Ea Organism","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87450","description":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative; Single Step, Nos, Ea Organism","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ureteroneocystostomy; W/Vesico-Psoas Hitch/Bladder Flap","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50785","description":"Ureteroneocystostomy; W/Vesico-Psoas Hitch/Bladder Flap","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1857.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bur Hole(S)/Trephine, Infratentorial, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61253","description":"Bur Hole(S)/Trephine, Infratentorial, Unilat/Bilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1243.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient did not receive follow-up within 30 days after discharge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9404","description":"Patient did not receive follow-up within 30 days after discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52356","description":"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":638.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Screening, diagnostic, film, digital or digital breast tomosynthesis (3D) mammography results were not documented and reviewed, reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9900","description":"Screening, diagnostic, film, digital or digital breast tomosynthesis (3D) mammography results were not documented and reviewed, reason not otherwise specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHP2","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vertebral Corpectomy, 1 Segment; Intradural, Thoracic, Thoracolumbar Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63306","description":"Vertebral Corpectomy, 1 Segment; Intradural, Thoracic, Thoracolumbar Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3202.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHPU","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closure, Rectovaginal Fistula; Vaginal/Transanal Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57300","description":"Closure, Rectovaginal Fistula; Vaginal/Transanal Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":852.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0647T","description":"Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":766.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Distal Radial Fx/Epiphyseal Separation; W/Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25605","description":"Closed Treatment, Distal Radial Fx/Epiphyseal Separation; W/Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":820.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"patient presented within 24 hours of a minor blunt head trauma with a GCS score of 15 and had a head CT ordered for trauma by an emergency care provider","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9594","description":"patient presented within 24 hours of a minor blunt head trauma with a GCS score of 15 and had a head CT ordered for trauma by an emergency care provider","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"reflectance confocal microscopy for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96931","description":"reflectance confocal microscopy for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report, first lesion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":239.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9624","description":"Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Athletic training eval, high complexity, requiring: medical hx and physical activity profile with 3+ comorbidities; exam addressing 4+ elements; clinical decision making","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97171","description":"Athletic training eval, high complexity, requiring: medical hx and physical activity profile with 3+ comorbidities; exam addressing 4+ elements; clinical decision making","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":98.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Latex Leg Strap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5113","description":"Latex Leg Strap","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":4.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Incision & Drainage, Deep Abscess/Hematoma, Soft Tissues, Neck/Thorax; W/Partial Rib Ostectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21502","description":"Incision & Drainage, Deep Abscess/Hematoma, Soft Tissues, Neck/Thorax; W/Partial Rib Ostectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":774.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infratemporal Post-Auricular Approach To Middle Cranial Fossa","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61591","description":"Infratemporal Post-Auricular Approach To Middle Cranial Fossa","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4723.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Complete ACA, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4302","description":"Complete ACA, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1271.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interim Complete Denture (Maxillary)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5810","description":"Interim Complete Denture (Maxillary)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":626.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BHK6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flexor Tendon Repair/Advance, In Zone 2 No Man's Land; Secondary, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26357","description":"Flexor Tendon Repair/Advance, In Zone 2 No Man's Land; Secondary, Each Tendon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1347.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1347.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27280","description":"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2087.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal and replacement of phrenic nerve stimulator, incldng vessel cath, all imag guidance, and interrogation and prog, when performed; transv stimulation or sensing lead(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33288","description":"Removal and replacement of phrenic nerve stimulator, incldng vessel cath, all imag guidance, and interrogation and prog, when performed; transv stimulation or sensing lead(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":916.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27134","description":"Revision, Total Hip Arthroplasty; Both Components, W/Wo Autograft/Allograft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2932.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BFL3","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application of on-body injector (includes cannula insertion) for timed subcutaneous injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96377","description":"Application of on-body injector (includes cannula insertion) for timed subcutaneous injection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Delayed Creation of Exit Site from Embedded Subcutaneous Segment of Intraperitoneal Cannula or Catheter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49436","description":"Delayed Creation of Exit Site from Embedded Subcutaneous Segment of Intraperitoneal Cannula or Catheter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":285.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tobacco Use, Smoking, Assessed1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1000F","description":"Tobacco Use, Smoking, Assessed1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63688","description":"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":567.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient with preoperative order for IV antibiotic surgical site infection (SSI) prophylaxis, antibiotic not initiated on time.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8917","description":"Patient with preoperative order for IV antibiotic surgical site infection (SSI) prophylaxis, antibiotic not initiated on time.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percut Treatment, Fx, Malar Area, W/Zygomatic Arch & Malar Tripod, W/Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21355","description":"Percut Treatment, Fx, Malar Area, W/Zygomatic Arch & Malar Tripod, W/Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":682.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient with a normal neurological examination","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9535","description":"Patient with a normal neurological examination","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Hip Dislocation, Traumatic; W/O Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27250","description":"Closed Treatment, Hip Dislocation, Traumatic; W/O Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":275.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, Complex - Medium, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1DB11","description":"Early - Community, Complex - Medium, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intermittent Urinary Cath","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4353","description":"Intermittent Urinary Cath","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.56,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":7.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43191","description":"Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":236.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hypnotherapy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90880","description":"Hypnotherapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":151.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0474T","description":"Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":240.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BHL2","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatitis B screening in non-pregnant, high-risk individual includes hepatitis B surface antigen, antibodies to HBSAG and antibodies to hepatitis B core antigen","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0499","description":"Hepatitis B screening in non-pregnant, high-risk individual includes hepatitis B surface antigen, antibodies to HBSAG and antibodies to hepatitis B core antigen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":31.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":31.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":31.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Skin protect wc cus wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2604","description":"Skin protect wc cus wd>=22in","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":185.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":185.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Excision Of Hyperplastic Tissue - Per Arch","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7970","description":"Excision Of Hyperplastic Tissue - Per Arch","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":446.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anabolic steroids; 1 or 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80327","description":"Anabolic steroids; 1 or 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Sacral Pressure Ulcer, Prep, Muscle/Myocutaneous Flap/Skin Graft Closure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15936","description":"Excision, Sacral Pressure Ulcer, Prep, Muscle/Myocutaneous Flap/Skin Graft Closure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1355.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CGKX","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Imaging study ordered","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3330F","description":"Imaging study ordered","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prescription/Fitting Contact Lens W/Medical Supervision; Corneoscleral Lens","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92313","description":"Prescription/Fitting Contact Lens W/Medical Supervision; Corneoscleral Lens","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interim Labor Facility Global (Labor Occurring But Not Resulting In De","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4005","description":"Interim Labor Facility Global (Labor Occurring But Not Resulting In De","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3519.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Malignant Lesion, Incl Margins, Scalp/Neck/Hands/Feet/Genitalia; Excised Diam > 4.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11626","description":"Excision, Malignant Lesion, Incl Margins, Scalp/Neck/Hands/Feet/Genitalia; Excised Diam > 4.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":615.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inlay - Cast Predominantly Base Metal, Two Surfaces","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6604","description":"Inlay - Cast Predominantly Base Metal, Two Surfaces","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":590.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nasal/Sinus Endoscopy, Surgical, W/Maxillary Antrostomy;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31256","description":"Nasal/Sinus Endoscopy, Surgical, W/Maxillary Antrostomy;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":299.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":299.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Skin Subst Graft To F/S/E/M/N/E/O/G/H/F/D, Area Up To 100 Sq Cm; 1St 25 Sq Cm Or Less Wound Surface Area","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15275","description":"Skin Subst Graft To F/S/E/M/N/E/O/G/H/F/D, Area Up To 100 Sq Cm; 1St 25 Sq Cm Or Less Wound Surface Area","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":224.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22808","description":"Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2848.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGLU","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement Model, which requires th","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9481","description":"Remote in-home visit for the evaluation and management of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement Model, which requires th","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.09,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":28.09,"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":"87340","description":"Hepatitis B surface antigen (HBsAg)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rabies Immune Globulin (Rig), Human, Im &/Or Subq Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90375","description":"Rabies Immune Globulin (Rig), Human, Im &/Or Subq Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":266.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":266.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CHM2","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adjacent Tissue Transfer/Rearrangement, Trunk; Defect 10 Sq Cm/<","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"14000","description":"Adjacent Tissue Transfer/Rearrangement, Trunk; Defect 10 Sq Cm/<","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":938.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Instillation(s), Via Chest Tube/Catheter, Agent for Fibrinolysis; Subsequent Day","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32562","description":"Instillation(s), Via Chest Tube/Catheter, Agent for Fibrinolysis; Subsequent Day","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":125.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suction Pump Portab Hom Modl - With Purchase Modifier (NU)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0600","description":"Suction Pump Portab Hom Modl - With Purchase Modifier (NU)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":442.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":442.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":986.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":986.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":442.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":986.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Computerized Tomography Guidance for, and Monitoring of, Parenchymal Tissue Ablation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77013","description":"Computerized Tomography Guidance for, and Monitoring of, Parenchymal Tissue Ablation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":293.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":540.31,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":375.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Repositioning, Intraocular Lens Prosthesis, Requiring An Incision (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66825","description":"Repositioning, Intraocular Lens Prosthesis, Requiring An Incision (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1140.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, W/Wo Patch Graft; Iliac","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35351","description":"Thromboendarterectomy, W/Wo Patch Graft; Iliac","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1987.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"collection and preparation of genetic sample material for laboratory analysis and report","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0422","description":"collection and preparation of genetic sample material for laboratory analysis and report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement (incl. removal of existing device), osseointegrated implant, skull; w/magnetic transcutaneous attm. to extl speech processor, and/or incl. bony defect <100 sq mm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69719","description":"Replacement (incl. removal of existing device), osseointegrated implant, skull; w/magnetic transcutaneous attm. to extl speech processor, and/or incl. bony defect <100 sq mm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1197.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision/Fulguration, Carcinoma, Urethra","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53220","description":"Excision/Fulguration, Carcinoma, Urethra","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":700.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transurethral Incision, Prostate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52450","description":"Transurethral Incision, Prostate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":718.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BHL1","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered and documented, no review of systems and no medication history or pharmacologic therapy (ot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9472","description":"Within the past 2 years, central dual-energy x-ray absorptiometry (dxa) not ordered and documented, no review of systems and no medication history or pharmacologic therapy (ot","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Facial Moulage (Complete)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5912","description":"Facial Moulage (Complete)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":313.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Automated analysis of an existing computed tomography study for vertebral fracture(s), including assessment of bone density when performed, data prep, interpret, and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0691T","description":"Automated analysis of an existing computed tomography study for vertebral fracture(s), including assessment of bone density when performed, data prep, interpret, and report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tape, Waterproof, Per 18 Square Inches","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4452","description":"Tape, Waterproof, Per 18 Square Inches","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"AV"},{"negotiated_type":"fee schedule","negotiated_rate":0.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"AW"},{"negotiated_type":"fee schedule","negotiated_rate":0.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":0.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":0.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"AU"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent Antigen Detection By Eia, Qual/Semiquant, Multi-Step; Hiv-1 Ag(s), W Hiv-1 And Hiv-2 Abs, Single Result","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"Infectious Agent Antigen Detection By Eia, Qual/Semiquant, Multi-Step; Hiv-1 Ag(s), W Hiv-1 And Hiv-2 Abs, Single Result","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":26.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":26.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":26.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Colorectal cancer screening; blood-based biomarker","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0327","description":"Colorectal cancer screening; blood-based biomarker","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extraoral - First Film","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0250","description":"Extraoral - First Film","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93356","description":"Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.19,"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 4,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CFNX","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage External Ear, Abscess/Hematoma; Complicated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69005","description":"Drainage External Ear, Abscess/Hematoma; Complicated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Angiography, Selective, Add'l Vessel(S), Radiological S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75774","description":"Angiography, Selective, Add'l Vessel(S), Radiological S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":129.32,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":102.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft; Autogenous Composite, 2 Segments, 2 Locations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35682","description":"Bypass Graft; Autogenous Composite, 2 Segments, 2 Locations","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":549.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lipid Panel Results Documented and Reviewed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3011F","description":"Lipid Panel Results Documented and Reviewed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"External beam radiotherapy to prostate only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4200F","description":"External beam radiotherapy to prostate only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2351","description":"Injection, ocrelizumab, 1 mg and hyaluronidase-ocsq","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Vertebral Fx(S)/Dislocation(S) Requiring Casting/Bracing, Manipulation/Traction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22315","description":"Closed Treatment, Vertebral Fx(S)/Dislocation(S) Requiring Casting/Bracing, Manipulation/Traction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1345.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pelvic Fixation, Non-Sacrum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22848","description":"Pelvic Fixation, Non-Sacrum","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":557.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; synovectomy, complete","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29821","description":"Arthroscopy, shoulder, surgical; synovectomy, complete","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":888.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CGN1","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CAD Chest Radiograph Remote From Primary Interpj","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0175T","description":"CAD Chest Radiograph Remote From Primary Interpj","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Upper GI endoscopy; with esophagogastric fundplasty","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43210","description":"Upper GI endoscopy; with esophagogastric fundplasty","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":669.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Peri-Procedural Device Evaluation and Programming W Physician Review; Sgl, Dual, or Mult Lead Cardioverter-Defib System","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93287","description":"Peri-Procedural Device Evaluation and Programming W Physician Review; Sgl, Dual, or Mult Lead Cardioverter-Defib System","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":20.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":55.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGNT","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64568","description":"Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1000.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient education, written/oral, appropriate for patients with heart failure performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4003F","description":"Patient education, written/oral, appropriate for patients with heart failure 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":"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to co","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81426","description":"Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to co","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2980.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":2980.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tendon Transplantation/Transf, Flexor/Extens, Forearm &/Or Wrist, Singl; W/Tendon Graft, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25312","description":"Tendon Transplantation/Transf, Flexor/Extens, Forearm &/Or Wrist, Singl; W/Tendon Graft, Each Tendon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1090.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Car seat/bed testing for airway integrity, for infants 0-12 mo, w/ continual clinical staff observation/continuous recording of pulse oximetry, HR and respiratory rate, 60 min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94780","description":"Car seat/bed testing for airway integrity, for infants 0-12 mo, w/ continual clinical staff observation/continuous recording of pulse oximetry, HR and respiratory rate, 60 min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Maximum Breathing Capacity, Maximal Voluntary Ventilation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94200","description":"Maximum Breathing Capacity, Maximal Voluntary Ventilation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":38.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":30.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Copy number (eg, intellectual disability, dysmorphology), sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0156U","description":"Copy number (eg, intellectual disability, dysmorphology), sequence analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1914.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Final report documented that dicom format image data available to non-affiliated external entities on a secure, media free, reciprocally searchable basis with patient authoriz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9340","description":"Final report documented that dicom format image data available to non-affiliated external entities on a secure, media free, reciprocally searchable basis with patient authoriz","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultrasound, Head/Brain","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76506","description":"Ultrasound, Head/Brain","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":129.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":48.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":178.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Frozen Blood, Each Unit; Freezing (W/Preparation)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86930","description":"Frozen Blood, Each Unit; Freezing (W/Preparation)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":153.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Wrist/Elbow Bowden Cbl Dir F","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6582","description":"Wrist/Elbow Bowden Cbl Dir F","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1363.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1677.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Advance care planning discussion documented in the medical record (COA)2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1158F","description":"Advance care planning discussion documented in the medical record (COA)2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Combined Rapid Anterior Pituitary Eval Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80418","description":"Combined Rapid Anterior Pituitary Eval Panel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":637.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":637.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AFLT","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sdsd: chore worker title xix in-home ser","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OC111","description":"Sdsd: chore worker title xix in-home ser","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Subsequent Intensive Care, Per Day, Recovering Infant (Present Body Weight of 2501-5000 Grams)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99480","description":"Subsequent Intensive Care, Per Day, Recovering Infant (Present Body Weight of 2501-5000 Grams)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":180.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tumor, Bone; Metatarsal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28173","description":"Radical Resection, Tumor, Bone; Metatarsal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1159.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Services Provided By Occupational Therapist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9034","description":"Services Provided By Occupational Therapist","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"At least 1 body temperature measurement >= 35.5 degrees celsius not achieved within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9773","description":"At least 1 body temperature measurement >= 35.5 degrees celsius not achieved within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Upper Arm/Elbow Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24065","description":"Bx, Soft Tissue, Upper Arm/Elbow Area; Superficial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":387.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":387.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Therapeutic, Prophylactic, or Diagnostic Injection; Ea Addl Sequential IV Push of the Same Substance/Drug (List Sep)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96376","description":"Therapeutic, Prophylactic, or Diagnostic Injection; Ea Addl Sequential IV Push of the Same Substance/Drug (List Sep)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shaving Skin Lesion, Trunk/Arms/Legs; Diameter > 2.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11303","description":"Shaving Skin Lesion, Trunk/Arms/Legs; Diameter > 2.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5BFK4","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not performing lipid profile (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":"G8768","description":"Documentation of medical reason(s) for not performing lipid profile (e.g. patients who have a terminal illness & the standard treatment goals is not clinically appropriate)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Computerized Corneal Topography, Unilateral or Bilateral, with Interpretation and Report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92025","description":"Computerized Corneal Topography, Unilateral or Bilateral, with Interpretation and Report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":56.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":30.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":26.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Clinician documented reason patient was not able to complete 30 day follow-up from acute inpatient setting discharge (e.g., patient death prior to follow-up visit, patient non","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9403","description":"Clinician documented reason patient was not able to complete 30 day follow-up from acute inpatient setting discharge (e.g., patient death prior to follow-up visit, patient non","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Genioplasty; Sliding Osteotomies, 2+ Osteotomies","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21122","description":"Genioplasty; Sliding Osteotomies, 2+ Osteotomies","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1007.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Plastic Mod Low Ext Pad/Line","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2275","description":"Plastic Mod Low Ext Pad/Line","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":172.07,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":139.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Glutamate Dehydrogenase","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82965","description":"Glutamate Dehydrogenase","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":14.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Knee Dislocation; W/O Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27550","description":"Closed Treatment, Knee Dislocation; W/O Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":767.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urgent Care MIPS specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G4036","description":"Urgent Care MIPS specialty set","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ft Prosth Multiaxial Ankl/Ft","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5978","description":"Ft Prosth Multiaxial Ankl/Ft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":337.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":414.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mammary Ductogram or Galactogram, Single Duct, Radiological Supervision and Interpretation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77053","description":"Mammary Ductogram or Galactogram, Single Duct, Radiological Supervision and Interpretation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":60.42,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":27.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"General Health Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80050","description":"General Health Panel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":73.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrotomy W/Bx; Interphalangeal Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28054","description":"Arthrotomy W/Bx; Interphalangeal Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":588.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vaginal Hysterectomy, Uterus >250 Gms; W/Colpo-Urethrocystopexy W/Wo Endoscopic Control","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58293","description":"Vaginal Hysterectomy, Uterus >250 Gms; W/Colpo-Urethrocystopexy W/Wo Endoscopic Control","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2050.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Debridement, subcutaneous tissue (includes epidermis and and dermis, if performed); each additional 20 sq cm, or part thereof (List separately)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11045","description":"Debridement, subcutaneous tissue (includes epidermis and and dermis, if performed); each additional 20 sq cm, or part thereof (List separately)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":61.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Culture, Bacterial; Stool, Addn'l Pathogens, Isolation & Preliminary Exam, Ea Plate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87046","description":"Culture, Bacterial; Stool, Addn'l Pathogens, Isolation & Preliminary Exam, Ea Plate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":10.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Iris Support Intraoclr Lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2631","description":"Iris Support Intraoclr Lens","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":139.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amputation, Toe; Interphalangeal Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28825","description":"Amputation, Toe; Interphalangeal Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":824.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ext electrocardiograph record more than 48 hours up to 7 days by continuous rhythm recording & storage; include recording, scanning analysis w/ report, review & interpretation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93241","description":"Ext electrocardiograph record more than 48 hours up to 7 days by continuous rhythm recording & storage; include recording, scanning analysis w/ report, review & interpretation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":490.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home Visit, Hemodialysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99512","description":"Home Visit, Hemodialysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical, Esophagogastric Fundoplasty","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43280","description":"Laparoscopy, Surgical, Esophagogastric Fundoplasty","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1660.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious disease, gram-negative bacterial identification and drug resistance element detection, DNA, amplified probe technique, each target reported as detected or not dete","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0142U","description":"Infectious disease, gram-negative bacterial identification and drug resistance element detection, DNA, amplified probe technique, each target reported as detected or not dete","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":172.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pneumatic propulsion tire","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2211","description":"Pneumatic propulsion tire","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":38.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Neuropsychological testing evaluation services including interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hour","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96132","description":"Neuropsychological testing evaluation services including interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hour","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":248.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Physician supervision of a patient under a Medicare-approved hospice (patient not present) requiring complex care","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0182","description":"Physician supervision of a patient under a Medicare-approved hospice (patient not present) requiring complex care","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":162.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":162.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection proc during cardiac cath incl imaging supervision, interpr, & report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac cath","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93574","description":"Injection proc during cardiac cath incl imaging supervision, interpr, & report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac cath","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":129.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, MMTA - Infectious - High, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3KC21","description":"Late - Community, MMTA - Infectious - High, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Comprehensive orthodontic treatment with orthognathic surgery","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D8091","description":"Comprehensive orthodontic treatment with orthognathic surgery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5101.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc expectant management pt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9053","description":"Onc expectant management pt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision Or Replacement Of Cranial Nerve (Eg, Vagus Nerve) Neurostimulator Electrode Array, Including Connection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64569","description":"Revision Or Replacement Of Cranial Nerve (Eg, Vagus Nerve) Neurostimulator Electrode Array, Including Connection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1204.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64451","description":"Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":413.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bilirubin; Feces, Qualitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82252","description":"Bilirubin; Feces, Qualitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminectomy/Section, Dentate Ligaments, Cervical; > 2 Segments","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63182","description":"Laminectomy/Section, Dentate Ligaments, Cervical; > 2 Segments","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2547.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tumor/Infection; Ilium, W/Acetabulum, Both Pubic Rami/Ischium & Acetabulum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27076","description":"Radical Resection, Tumor/Infection; Ilium, W/Acetabulum, Both Pubic Rami/Ischium & Acetabulum","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3865.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Epididymovasostomy, Anastomosis, Epididymis To Vas Deferens; Unilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54900","description":"Epididymovasostomy, Anastomosis, Epididymis To Vas Deferens; Unilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1281.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteogen Ultrasound Stimltor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0760","description":"Osteogen Ultrasound Stimltor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":451.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":3387.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"},{"negotiated_type":"fee schedule","negotiated_rate":4517.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3585.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracotomy, With Diagnostic Biopsy(ies) Of Lung Nodule(s) Or Mass(es) (Eg, Wedge, Incisional), Unilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32097","description":"Thoracotomy, With Diagnostic Biopsy(ies) Of Lung Nodule(s) Or Mass(es) (Eg, Wedge, Incisional), Unilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1233.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tenolysis, Flexor Tendon; Palm & Finger, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26442","description":"Tenolysis, Flexor Tendon; Palm & Finger, Each Tendon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1445.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Decompression Facial Nerve, Intratemporal; W/Medial To Geniculate Ganglion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69725","description":"Decompression Facial Nerve, Intratemporal; W/Medial To Geniculate Ganglion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2854.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagogastric Fundoplasty; W/Fundic Patch (Thal-Nissen Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43325","description":"Esophagogastric Fundoplasty; W/Fundic Patch (Thal-Nissen Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2052.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4036","description":"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":40.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Nasoethmoid Fx; W/O Ext Fixation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21338","description":"Open Treatment, Nasoethmoid Fx; W/O Ext Fixation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1144.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, pemetrexed (Teva), not therapeutically equivalent to J9305, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9314","description":"Injection, pemetrexed (Teva), not therapeutically equivalent to J9305, 10 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BGLV","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment with protocol modification, each 15 minutes of technicians' time face-to-face with a patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0373T","description":"Adaptive behavior treatment with protocol modification, each 15 minutes of technicians' time face-to-face with a patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"URI episodes when the patient had competing diagnoses on or three days after the episode date","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8709","description":"URI episodes when the patient had competing diagnoses on or three days after the episode date","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Certified translation or sign-language services – per visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9990","description":"Certified translation or sign-language services – per visit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":34.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical observation; Streptococcus, group A","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880","description":"Infectious agent antigen detection by immunoassay with direct optical observation; Streptococcus, group A","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction by Neurolytic Agent; Plantar Common Digital Nerve","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64632","description":"Destruction by Neurolytic Agent; Plantar Common Digital Nerve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":128.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Fx, Wt Bearing Articular Surface/Portion, Distal Tibia, W/Fixation; Tibia & Fibula","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27828","description":"Open Treatment, Fx, Wt Bearing Articular Surface/Portion, Distal Tibia, W/Fixation; Tibia & Fibula","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2003.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AFL2","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Chest, 2 Views, Frontal & Lateral; W/Fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71023","description":"Radiologic Exam, Chest, 2 Views, Frontal & Lateral; W/Fluoroscopy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":94.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgery, Intracranial Arteriovenous Malformation; Infratentorial, Complex","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61686","description":"Surgery, Intracranial Arteriovenous Malformation; Infratentorial, Complex","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7035.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mra, Neck; W/O Contrast Matl(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70547","description":"Mra, Neck; W/O Contrast Matl(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":91.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":589.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":498.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Us, Preg Uter, Real Time W/Image Document, Fetal & Maternal, 1st Trimest, Transabdom; Singl/1st Gest","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76801","description":"Us, Preg Uter, Real Time W/Image Document, Fetal & Maternal, 1st Trimest, Transabdom; Singl/1st Gest","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":186.56,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":110.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Exploration, Not Followed, Surgical Repair, W/Wo Arteriolysis; Other Vessels","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35761","description":"Exploration, Not Followed, Surgical Repair, W/Wo Arteriolysis; Other Vessels","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":603.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88185","description":"Flow Cytometry, Cell Surface, Cytoplasmic, Or Nuclear Marker, Technical Component Only; Ea Additional Marker (List Sep)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteotomy, Mandible, Segmental; W/Genioglossus Advancement","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21199","description":"Osteotomy, Mandible, Segmental; W/Genioglossus Advancement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1546.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Acth Stimulation Panel; 21 Hydroxylase Deficiency","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80402","description":"Acth Stimulation Panel; 21 Hydroxylase Deficiency","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":95.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Hysteroscopy, Uterus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58579","description":"Unlisted Proc, Hysteroscopy, Uterus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Current or prior left ventricular ejection fraction (LVEF) <=40% or documentation of moderately or severely depressed left ventricular systolic function","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8934","description":"Current or prior left ventricular ejection fraction (LVEF) <=40% or documentation of moderately or severely depressed left ventricular systolic function","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pericardiocentesis; Initial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33010","description":"Pericardiocentesis; Initial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Family psychotherapy (without the patient present), 50 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","description":"Family psychotherapy (without the patient present), 50 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":152.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":152.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Nafcillin Sodium","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0032","description":"Injection, Nafcillin Sodium","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Care Level Rationale Doc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"6005F","description":"Care Level Rationale Doc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision, Skin Pocket, Single/Dual Chamber Pacing Cardioverter-Defibrillator","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33223","description":"Revision, Skin Pocket, Single/Dual Chamber Pacing Cardioverter-Defibrillator","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":626.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BHPU","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0562T","description":"Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Domiciliary/rest home visit, est patient, 2 of: problem focus history; problem focus exam; stfwd medical decision making","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99334","description":"Domiciliary/rest home visit, est patient, 2 of: problem focus history; problem focus exam; stfwd medical decision making","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":90.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Iliac Artery Expose W/Conduit, Infrarenal Arotic/Iliac Endovas Prosth, Abdom/Retrop, Unilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"34833","description":"Open Iliac Artery Expose W/Conduit, Infrarenal Arotic/Iliac Endovas Prosth, Abdom/Retrop, Unilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":943.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lens Sphcy Bifocal 4.25-7d/.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2207","description":"Lens Sphcy Bifocal 4.25-7d/.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surg prep&cannulation marginal cadaver donor lung ex vivo organ perfusion syst include decannulation sep perfusion syst&cold preservatio allograft prior implantation performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0494T","description":"Surg prep&cannulation marginal cadaver donor lung ex vivo organ perfusion syst include decannulation sep perfusion syst&cold preservatio allograft prior implantation performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":580.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Referred To An Outpatient Cardiac Rehabilitation Program (Cad)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4500F","description":"Referred To An Outpatient Cardiac Rehabilitation Program (Cad)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Borrelia burgdorferi (Lyme disease), OspA protein evaluation, urine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0316U","description":"Borrelia burgdorferi (Lyme disease), OspA protein evaluation, urine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ureteral Endoscopy Through Ureterotomy, W/Wo Irrigation/Instillation/Ureteropyelography;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50970","description":"Ureteral Endoscopy Through Ureterotomy, W/Wo Irrigation/Instillation/Ureteropyelography;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":568.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"No contin 12mon thxpy w/ PPI or H2 H2RA rcvd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4186F","description":"No contin 12mon thxpy w/ PPI or H2 H2RA rcvd","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hkafo Unilat Torsion Cable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2080","description":"Hkafo Unilat Torsion Cable","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":456.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":370.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Reconstruction, Toe(S); Syndactyly, W/Wo Skin Graft(S), Each Web","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28345","description":"Reconstruction, Toe(S); Syndactyly, W/Wo Skin Graft(S), Each Web","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":813.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81255","description":"Hexa (Hexosaminidase A [Alpha Polypeptide]) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":56.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroplasty, Interphalangeal Joint; W/Prosthetic Implant, Each Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26536","description":"Arthroplasty, Interphalangeal Joint; W/Prosthetic Implant, Each Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1057.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cone beam CT, full arch-mand","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0365","description":"Cone beam CT, full arch-mand","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":379.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Coronary Artery Bypass, Vein Only; 3 Coronary Venous Grafts","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33512","description":"Coronary Artery Bypass, Vein Only; 3 Coronary Venous Grafts","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3712.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophageal Balloon Distension Provocation Study","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91040","description":"Esophageal Balloon Distension Provocation Study","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":562.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":638.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":638.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":638.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":562.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":562.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Inj Protamine Sulfate/10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2720","description":"Inj Protamine Sulfate/10 Mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, Behavioral Health - High, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4FC31","description":"Late - Institutional, Behavioral Health - High, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lysis, Labial Adhesions","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"56441","description":"Lysis, Labial Adhesions","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":216.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Plasma Volume, Radiopharmaceutical Volume-Dilution Technique (Sep Proc); Multiple Samples","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78111","description":"Plasma Volume, Radiopharmaceutical Volume-Dilution Technique (Sep Proc); Multiple Samples","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":130.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":147.34,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CFM2","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous lumbar disc decompression using needle-based technique under fluoroscopic/indirect imaging; includes discography/epidural injection, single/multiple levels","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62287","description":"Percutaneous lumbar disc decompression using needle-based technique under fluoroscopic/indirect imaging; includes discography/epidural injection, single/multiple levels","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":874.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp 2 hd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0825","description":"PWC gp 2 hd cap chair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":477.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHLW","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Sinuses, Paranasal, <3 Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70210","description":"Radiologic Exam, Sinuses, Paranasal, <3 Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":13.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":44.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Parenteral Nutrition Additiv","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4216","description":"Parenteral Nutrition Additiv","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGK5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Most recent BP is less than or equal to 140/90 mm Hg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9788","description":"Most recent BP is less than or equal to 140/90 mm Hg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Periodic Comprehensive Preventive Medicine E&M W/Hx/Exam, Est Pt; 18-39 Yr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","description":"Periodic Comprehensive Preventive Medicine E&M W/Hx/Exam, Est Pt; 18-39 Yr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":176.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Aldosterone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82088","description":"Aldosterone","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":44.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"AV fistula or graft venous","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0393","description":"AV fistula or graft venous","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"prefabricated porcelain/ceramic crown – permanent tooth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2928","description":"prefabricated porcelain/ceramic crown – permanent tooth","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":339.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Lightweight Leg R","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1270","description":"Wheelchair Lightweight Leg R","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1700.97,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1700.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":107.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BGKU","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastroenterology, immunoassay for antiCdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0164U","description":"Gastroenterology, immunoassay for antiCdtB and anti-vinculin antibodies, utilizing plasma, algorithm for elevated or not elevated qualitative results","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":123.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Heavy Duty Fixed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1285","description":"Wheelchair Heavy Duty Fixed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":181.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1820.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1820.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home infusion therapy, continuous chemotherapy infusion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9330","description":"Home infusion therapy, continuous chemotherapy infusion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":164.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Supply Of Radiopharmaceutical Diag Imaging Agent, Technetium Tc-99m","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9513","description":"Supply Of Radiopharmaceutical Diag Imaging Agent, Technetium Tc-99m","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":334.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":334.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lens Bifocal Speciality","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2299","description":"Lens Bifocal Speciality","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":37.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Tendon/Muscle, Flexor, Forearm &/Or Wrist; Secondary, Single, Each Tendon/Muscle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25263","description":"Repair, Tendon/Muscle, Flexor, Forearm &/Or Wrist; Secondary, Single, Each Tendon/Muscle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":947.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intraluminal Dilation Strictures &/Or Obstructions, Radiological S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74360","description":"Intraluminal Dilation Strictures &/Or Obstructions, Radiological S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":42.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":26.97,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Manipulation, Wrist, Under Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25259","description":"Manipulation, Wrist, Under Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":628.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90660","description":"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.87,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":28.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urobilinogen, Urine; Semiquantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84583","description":"Urobilinogen, Urine; Semiquantitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":6.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Spoken language expression functional limitation, current status at therapy episode outset and at reporting intervals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9162","description":"Spoken language expression functional limitation, current status at therapy episode outset and at reporting intervals","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Testing, Autonomic Nervous System; Cardiovagal Innervation Parasympathetic","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95921","description":"Testing, Autonomic Nervous System; Cardiovagal Innervation Parasympathetic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":59.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":127.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CSIT on pt any reas 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8962","description":"CSIT on pt any reas 30 days","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystourethroscopy; W/Ureteral Meatotomy, Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52290","description":"Cystourethroscopy; W/Ureteral Meatotomy, Unilat/Bilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":374.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45347","description":"Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":240.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"First 20 mins mo tx mgmt svc directly related to pts ther use of DMHT device that augments a behavioral ther plan, phys/other QHP time rev info related to use of DMHT device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0553","description":"First 20 mins mo tx mgmt svc directly related to pts ther use of DMHT device that augments a behavioral ther plan, phys/other QHP time rev info related to use of DMHT device","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":99.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81161","description":"DMD (Dystrophin) (Eg, Duchenne/Becker Muscular Dystrophy) Deletion Analysis, And Duplication Analysis, If Performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":306.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":306.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Ankle Dislocation; W/O Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27840","description":"Closed Treatment, Ankle Dislocation; W/O Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":555.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Knee orthosis (KO), elastic with condylar pads/joints, prefabricated and customized for patient fitting by an expert","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1820","description":"Knee orthosis (KO), elastic with condylar pads/joints, prefabricated and customized for patient fitting by an expert","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":158.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":158.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":129.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":129.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Pentazocine Hcl Injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3070","description":"Pentazocine Hcl Injeciton","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - Other - Low, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AA11","description":"Early - Institutional, 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":"Coordinating stroke care to promote prevention and cultivate positive outcomes MIPS value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0054","description":"Coordinating stroke care to promote prevention and cultivate positive outcomes MIPS value pathways","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radio/surgical implant index","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6190","description":"Radio/surgical implant index","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":165.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not being able to assess","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0921","description":"Documentation of patient reason(s) for not being able to assess","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Strabismus Surgery, Recession/Resection Proc; 1 Horizontal Muscle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67311","description":"Strabismus Surgery, Recession/Resection Proc; 1 Horizontal Muscle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":897.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":897.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"replacement of restorative material used to close an access opening of a screw-retained implant supported prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6197","description":"replacement of restorative material used to close an access opening of a screw-retained implant supported prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":210.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision & Drainage, Bartholin's Gland Abscess","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"56420","description":"Incision & Drainage, Bartholin's Gland Abscess","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":182.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - GI/GU - High, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2JC11","description":"Early - Institutional, MMTA - GI/GU - High, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2186","description":"Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Below Knee Total Contact","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5637","description":"Below Knee Total Contact","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":283.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":348.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Herpes Simplex, Type I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86695","description":"Antibody; Herpes Simplex, Type I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy Of Penis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54100","description":"Biopsy Of Penis; (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":299.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":299.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Simple Repair, Superficial Wounds, Scalp/Neck/Axillae/Genitalia/Trunk/Extremities; > 30.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"12007","description":"Simple Repair, Superficial Wounds, Scalp/Neck/Axillae/Genitalia/Trunk/Extremities; > 30.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":329.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single interspace, lumbar; each additional interspace","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22632","description":"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single interspace, lumbar; each additional interspace","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Anterior Segment Photography W/Interpretation & Report; W/Specular Microscopy/Cell Count","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92286","description":"Special Anterior Segment Photography W/Interpretation & Report; W/Specular Microscopy/Cell Count","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":33.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Hand Restoration Multiple Fi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6905","description":"Hand Restoration Multiple Fi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2294.54,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1865.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81177","description":"ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Subsequent nursing FAC, per day, for the E/M of pt, req. a medically apt history and/or Ex and moderate level of medical decision making. Total time of the encounter, 30 min.+","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99309","description":"Subsequent nursing FAC, per day, for the E/M of pt, req. a medically apt history and/or Ex and moderate level of medical decision making. Total time of the encounter, 30 min.+","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"services performed by other qualified therapist in the hospice setting, each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9478","description":"services performed by other qualified therapist in the hospice setting, each 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Coxiella Brunetii (Q Fever)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86638","description":"Antibody; Coxiella Brunetii (Q Fever)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision & Drainage, Penis, Deep","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54015","description":"Incision & Drainage, Penis, Deep","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":471.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AHM3","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - Surgical Aftercare - Low, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2GA21","description":"Early - Institutional, MMTA - Surgical Aftercare - Low, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immunization Admin Through 18 Years Of Age Via Any Route Of Admin, W Counseling; Ea Addl Vaccine/Toxoid Component","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90461","description":"Immunization Admin Through 18 Years Of Age Via Any Route Of Admin, W Counseling; Ea Addl Vaccine/Toxoid Component","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Computed Tomography, Bone Mineral Density Study, 1 or More Sites; Axial Skeleton (Eg, Hips, Pelvis, Spine)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77078","description":"Computed Tomography, Bone Mineral Density Study, 1 or More Sites; Axial Skeleton (Eg, Hips, Pelvis, Spine)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":171.19,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":18.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":152.64,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Deep Vein Thromb Prophyl RecvÆd By Hosp Day 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4070F","description":"Deep Vein Thromb Prophyl RecvÆd By Hosp Day 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lactose, Urine; Qualitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83633","description":"Lactose, Urine; Qualitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":12.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Tympanoplasty W/Antrotomy/Mastoidotomy; W/O Ossicle Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69635","description":"Tympanoplasty W/Antrotomy/Mastoidotomy; W/O Ossicle Reconstruction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1873.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, trastuzumab-strf (Hercessi), biosimilar, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5146","description":"Injection, trastuzumab-strf (Hercessi), biosimilar, 10 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":76.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Initial Care, Per Day, for Eval and Management of Normal Newborn Infant Seen In other than Hospital or Birthing Center","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99461","description":"Initial Care, Per Day, for Eval and Management of Normal Newborn Infant Seen In other than Hospital or Birthing Center","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":139.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Peritoneal Dialysis; 21-40 Kg","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","description":"Peritoneal Dialysis; 21-40 Kg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Caregiver Provided With Education And Referred To Additional Resources For Support (Dem)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4322F","description":"Caregiver Provided With Education And Referred To Additional Resources For Support (Dem)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CGM3","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"dental case management – patient education to improve oral health literacy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9994","description":"dental case management – patient education to improve oral health literacy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Online digital assessment by a nonphysician professional for an established patient, up to 7 days cumulative; 21+ minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98972","description":"Online digital assessment by a nonphysician professional for an established patient, up to 7 days cumulative; 21+ minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nursing facility discharge management; more than 30 minutes total time on the date of the encounter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99316","description":"Nursing facility discharge management; more than 30 minutes total time on the date of the encounter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":158.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression stocking, below knee, 40 mm Hg or greater, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6554","description":"Gradient compression stocking, below knee, 40 mm Hg or greater, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Beta amyloid, AB40 and AB42 by liquid chromatography with tandem mass spectrometry (LC-MS/MS), ratio, plasma","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0346U","description":"Beta amyloid, AB40 and AB42 by liquid chromatography with tandem mass spectrometry (LC-MS/MS), ratio, plasma","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":93.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intravascular Doppler velocity/pressure coronary flow reserve measurement during angiography with stress; each additional vessel (add-on to primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93572","description":"Intravascular Doppler velocity/pressure coronary flow reserve measurement during angiography with stress; each additional vessel (add-on to primary procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":196.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":118.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":102.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGMS","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemoglobin; glycosylated (a1c) by device cleared by fda for home use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83037","description":"Hemoglobin; glycosylated (a1c) by device cleared by fda for home use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":10.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90759","description":"Hepatitis B vaccine (HepB), 3-antigen (S, Pre-S1, Pre-S2), 10 mcg dosage, 3 dose schedule, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Maintenance 5% WL from baseline weight in months 7-12","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9888","description":"Maintenance 5% WL from baseline weight in months 7-12","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic small intestine follow-through study, including multiple serial images (List sep in addition to code for primary procedure for upper GI radiologic examination)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74248","description":"Radiologic small intestine follow-through study, including multiple serial images (List sep in addition to code for primary procedure for upper GI radiologic examination)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":87.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":63.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":151.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis, review, and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0529T","description":"Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis, review, and report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87634","description":"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus, amplified probe technique","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":77.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":77.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Portable Liquid 02","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0434","description":"Portable Liquid 02","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopy, Knee, Surgical; W/Meniscectomy, Medial & Lateral, W/Shaving","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29880","description":"Arthroscopy, Knee, Surgical; W/Meniscectomy, Medial & Lateral, W/Shaving","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":857.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","description":"Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Solid Seat Insert","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0992","description":"Wheelchair Solid Seat Insert","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":102.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":102.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":10.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"excavation of a tooth resulting in the determination of non-restorability","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2989","description":"excavation of a tooth resulting in the determination of non-restorability","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":105.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Actigraphy Testing, Recording, Analysis, Interpretation, and Report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95803","description":"Actigraphy Testing, Recording, Analysis, Interpretation, and Report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":145.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":65.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":210.94,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":210.94,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":145.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Low (or very low) risk of recurrence, prostate cancer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9706","description":"Low (or very low) risk of recurrence, prostate cancer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endometrial Bx W/Wo Endocervical Bx, W/O Dilation, Any Method (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58100","description":"Endometrial Bx W/Wo Endocervical Bx, W/O Dilation, Any Method (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":164.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Above Knee Leather Socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5642","description":"Above Knee Leather Socket","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":787.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":968.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHP3","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 5,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":"Ovulation Tests, Visual Color Comparison Methods, Human Luteinizing Hormone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84830","description":"Ovulation Tests, Visual Color Comparison Methods, Human Luteinizing Hormone","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.97,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Radiocarpal/Intercarpal Dislocation, 1+ Bones","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25670","description":"Open Treatment, Radiocarpal/Intercarpal Dislocation, 1+ Bones","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":920.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), targeted mRNA sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0131U","description":"Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), targeted mRNA sequence analysis panel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":781.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":781.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Heroin metabolite","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80356","description":"Heroin metabolite","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous Skeletal Fixation, Supracondylar/Transcondylar Humeral Fx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24538","description":"Percutaneous Skeletal Fixation, Supracondylar/Transcondylar Humeral Fx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1133.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Partial Excision, Bone, Humerus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24140","description":"Partial Excision, Bone, Humerus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1070.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adherence to therapy was not assessed annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8855","description":"Adherence to therapy was not assessed annually through an objective informatics system or through self-reporting (if objective reporting is not available), reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32556","description":"Pleural Drainage, Percutaneous, With Insertion Of Indwelling Catheter; Without Imaging Guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":832.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crown, 3/4 Cast Predominately Base Metal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2781","description":"Crown, 3/4 Cast Predominately Base Metal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":550.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, cyclophosphamide (Baxter), 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9076","description":"Injection, cyclophosphamide (Baxter), 5 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lg Vol Nebulizer Disposable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7007","description":"Lg Vol Nebulizer Disposable","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":4.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Scr C/V Cyto,Thinlayer,Rescr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0143","description":"Scr C/V Cyto,Thinlayer,Rescr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":29.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"bone graft in conjunction with periradicular surgery - per tooth, single site","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D3428","description":"bone graft in conjunction with periradicular surgery - per tooth, single site","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":272.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Final reports for CT, CTA, MRI or MRA of the chest or neck or ultrasound of the neck with follow-up imaging not recommended","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9556","description":"Final reports for CT, CTA, MRI or MRA of the chest or neck or ultrasound of the neck with follow-up imaging not recommended","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHK4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bk Molded Supracondylar Susp","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5670","description":"Bk Molded Supracondylar Susp","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":347.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":282.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Socket Insert W/O Lock Lower","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5668","description":"Socket Insert W/O Lock Lower","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":131.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":106.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BGLS","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Contrast Injection, Assessment, Abscess/Cyst Via Drainage Catheter Tube (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49424","description":"Contrast Injection, Assessment, Abscess/Cyst Via Drainage Catheter Tube (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":219.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"AmnioPlast 3, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4369","description":"AmnioPlast 3, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AGM4","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Streptokinase, Antibody","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86590","description":"Streptokinase, Antibody","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"removable unilateral partial denture – one piece cast metal (including clasps and teeth), mandibular","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5283","description":"removable unilateral partial denture – one piece cast metal (including clasps and teeth), mandibular","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":700.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tenotomy, Lengthening/Release, Abductor Hallucis Muscle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28240","description":"Tenotomy, Lengthening/Release, Abductor Hallucis Muscle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":692.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Obstetrics, 145 genes by next-generation sequencing, fragment analysis and multiplex ligation-dependent probe amplification, DNA, reported as carrier positive or negative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0400U","description":"Obstetrics, 145 genes by next-generation sequencing, fragment analysis and multiplex ligation-dependent probe amplification, DNA, reported as carrier positive or negative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1602.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crutch Underarm Each Wood","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0113","description":"Crutch Underarm Each Wood","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.96,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":28.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":28.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Lightweight Wheelchair - with Purchase Modifier (NU)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0003","description":"Lightweight Wheelchair - with Purchase Modifier (NU)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":40.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":40.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":40.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dilation, Rectal Stricture (Sep Proc) Under Anesthesia Other Than Local","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45910","description":"Dilation, Rectal Stricture (Sep Proc) Under Anesthesia Other Than Local","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":296.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (lung), multi-omics, plasma, algorithm reported as malignancy risk for lung nodules in early-stage disease","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0395U","description":"Oncology (lung), multi-omics, plasma, algorithm reported as malignancy risk for lung nodules in early-stage disease","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":877.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fracture of lower extremity with Motor >42.15.,comorbidity in tier 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0701","description":"Fracture of lower extremity with Motor >42.15.,comorbidity in tier 3","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":53.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, battery charger, single mode, for use with only one battery type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2366","description":"Power wheelchair accessory, battery charger, single mode, for use with only one battery type","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":175.94,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":175.94,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":17.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":131.96,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"UE"}]}]},{"negotiation_arrangement":"ffs","name":"Bk Knee Joints Polycentric P","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5677","description":"Bk Knee Joints Polycentric P","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":511.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":629.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx/Excision, Cervix Lesion W/Wo Fulguration (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57500","description":"Bx/Excision, Cervix Lesion W/Wo Fulguration (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":191.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":191.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MS Rehab - Low, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2EA11","description":"Early - Institutional, MS Rehab - 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":"Gadofosveset trisodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9583","description":"Gadofosveset trisodium inj","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, lanreotide, (cipla), 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1932","description":"Injection, lanreotide, (cipla), 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cesarean Delivery Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59514","description":"Cesarean Delivery Only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1408.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1408.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"U9"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5AFK1","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amputation, Arm Through Humerus; Open, Circular (Guillotine)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24920","description":"Amputation, Arm Through Humerus; Open, Circular (Guillotine)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1097.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Functional status measured at 3 mo postop was </= 22 or functional status measured within 3 mo preop and at 3 mo postop demonstrated a change of 30 points or greater","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2144","description":"Functional status measured at 3 mo postop was </= 22 or functional status measured within 3 mo preop and at 3 mo postop demonstrated a change of 30 points or greater","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - Endocrine - High, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1IC11","description":"Early - Community, MMTA - Endocrine - High, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"patients not screened for unhealthy alcohol screening using a systematic screening method or patient did not receive brief counseling, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9624","description":"patients not screened for unhealthy alcohol screening using a systematic screening method or patient did not receive brief counseling, reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (ovarian), DNA, whole-genome sequencing with 5hmC enrichment, using whole blood or plasma, algorithm reported as cancer detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0507U","description":"Oncology (ovarian), DNA, whole-genome sequencing with 5hmC enrichment, using whole blood or plasma, algorithm reported as cancer detected or not detected","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1276.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (colorectal and lung), DNA from FFPE tissue, NGS of 8 genes (NRAS, EGFR, CTNNB1, PIK3CA, APC, BRAF, KRAS, and TP53), mutation detection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0499U","description":"Oncology (colorectal and lung), DNA from FFPE tissue, NGS of 8 genes (NRAS, EGFR, CTNNB1, PIK3CA, APC, BRAF, KRAS, and TP53), mutation detection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":657.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Radial Head/Neck Fx W/Wo Int Fixation/Radial Head Excision; W/Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24666","description":"Open Treatment, Radial Head/Neck Fx W/Wo Int Fixation/Radial Head Excision; W/Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1115.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Forearm &/Or Wrist; Superficial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25065","description":"Bx, Soft Tissue, Forearm &/Or Wrist; Superficial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":382.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2298","description":"Complex rehabilitative power wheelchair accessory, power seat elevation system, any type","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3128.19,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":201.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":3128.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multi Step; Entamoeba Histolytica Group","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87337","description":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multi Step; Entamoeba Histolytica Group","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinical follow-up and MRS score assessed at 90 days following endovascular stroke intervention","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0045","description":"Clinical follow-up and MRS score assessed at 90 days following endovascular stroke intervention","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nitroblue Tetrazolium Dye Test (Ntd)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86384","description":"Nitroblue Tetrazolium Dye Test (Ntd)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.97,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, calcium gluconate (WG Critical Care), not therapeutically equivalent to J0612, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0613","description":"Injection, calcium gluconate (WG Critical Care), not therapeutically equivalent to J0612, 10 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc dx prostate T2no progres","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9078","description":"Onc dx prostate T2no progres","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, Including Patch Graft, if performed; Tibial or Peroneal Artery, Initial Vessel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35305","description":"Thromboendarterectomy, Including Patch Graft, if performed; Tibial or Peroneal Artery, Initial Vessel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1912.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy, Flexible; W/Dilation, Balloon, 1/> Strictures","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45340","description":"Sigmoidoscopy, Flexible; W/Dilation, Balloon, 1/> Strictures","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":648.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Professional services for the supervision of perparation and provision of antigens for allergen immunotherapy (specify number of doses); 4 single stinging insect venoms","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95148","description":"Professional services for the supervision of perparation and provision of antigens for allergen immunotherapy (specify number of doses); 4 single stinging insect venoms","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":103.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":103.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adult size brief/diaper sm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4521","description":"Adult size brief/diaper sm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":0.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BFMT","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Kafo Dbl Solid Stirrup W/O J","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2030","description":"Kafo Dbl Solid Stirrup W/O J","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1199.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1475.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33267","description":"Exclusion of left atrial appendage, open, any method (eg, excision, isolation via stapling, oversewing, ligation, plication, clip)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1866.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urea Nitrogen; Semiquantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84525","description":"Urea Nitrogen; Semiquantitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.64,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD relate home/dy 20+yrs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0327","description":"ESRD relate home/dy 20+yrs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AHMS","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 3,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":"Ostectomy, Partial, Exostectomy/Condylectomy, Metatarsal Head, Each Metatarsal Head","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28288","description":"Ostectomy, Partial, Exostectomy/Condylectomy, Metatarsal Head, Each Metatarsal Head","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":924.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fem Urinary Collect Pouch","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4328","description":"Fem Urinary Collect Pouch","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":10.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Excision Of Pericoronal Gingiva","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7971","description":"Excision Of Pericoronal Gingiva","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":189.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Post Removal (Not In Conjunction With Endodontic Therapy)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2955","description":"Post Removal (Not In Conjunction With Endodontic Therapy)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":169.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Eval, Prescrip, Speech-Generating Augmentative & Alternative Communication Device; Ea Add'l 30 Min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92608","description":"Eval, Prescrip, Speech-Generating Augmentative & Alternative Communication Device; Ea Add'l 30 Min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":79.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Obturator Prosthesis, Definitive","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5932","description":"Obturator Prosthesis, Definitive","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3915.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BFMX","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Forearm Crutch Platform Atta","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0153","description":"Forearm Crutch Platform Atta","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":94.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":10.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":94.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every four hours","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9504","description":"Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every four hours","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal of implantable glucose sensor with creation of subcutaneous pocket different anatomic site and insertion of new 180 day implantable sensor, including system activation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0309","description":"Removal of implantable glucose sensor with creation of subcutaneous pocket different anatomic site and insertion of new 180 day implantable sensor, including system activation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Targeted gen seq alys, and organ neo, DNA alys of 324 genes, interrog for seq variants, gene copy nbr ampliftn, gene rearrgmnts, microsatl instab and tumor mutational burden","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0037U","description":"Targeted gen seq alys, and organ neo, DNA alys of 324 genes, interrog for seq variants, gene copy nbr ampliftn, gene rearrgmnts, microsatl instab and tumor mutational burden","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3850.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Silicone Gel Insert Or Equal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6692","description":"Silicone Gel Insert Or Equal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":532.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":655.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":655.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":532.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system, incl testing of lead and monitor, intl system programming, and imaging super and interp; electrode only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0526T","description":"Insertion or replacement of intracardiac ischemia monitoring system, incl testing of lead and monitor, intl system programming, and imaging super and interp; electrode only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":674.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Casting/Strapping","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29799","description":"Unlisted Proc, Casting/Strapping","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation that patient is a current non-tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9275","description":"Documentation that patient is a current non-tobacco user","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrotomy, Elbow, W/Exploration, Drainage/Removal, Fb","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24000","description":"Arthrotomy, Elbow, W/Exploration, Drainage/Removal, Fb","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":726.1,"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":"G9802","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Work Hardening/Conditioning; Initial 2 Hours","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97545","description":"Work Hardening/Conditioning; Initial 2 Hours","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":307.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ablation, Open, 1+ Liver Tumor(S), Percutaneous, Radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47382","description":"Ablation, Open, 1+ Liver Tumor(S), Percutaneous, Radiofrequency","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":7269.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open subclavian to carotid artery transposition w endovasc repair of descending thoracic aorta, by neck incision, unilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33889","description":"Open subclavian to carotid artery transposition w endovasc repair of descending thoracic aorta, by neck incision, unilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1220.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Office Consultation, 3 Key Components: Comprehensive Hx;Comprehensive Exam;Med Decision High Complex","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99245","description":"Office Consultation, 3 Key Components: Comprehensive Hx;Comprehensive Exam;Med Decision High Complex","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":333.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":333.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Multiple Punctures, Anterior Cornea","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65600","description":"Multiple Punctures, Anterior Cornea","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":591.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Doppler Color Flow Mapping","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93325","description":"Doppler Color Flow Mapping","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":38.16,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":33.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":4.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Ext Ear","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69399","description":"Unlisted Proc, Ext Ear","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol And/Or Drug Services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0006","description":"Alcohol And/Or Drug Services","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"fee schedule","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"fee schedule","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"fee schedule","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"}]}]},{"negotiation_arrangement":"ffs","name":"Gravity Assisted Traction Device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0941","description":"Gravity Assisted Traction Device","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":481.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":481.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":481.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":50.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":481.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":50.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Digital Analysis, Electroencephalogram (Eeg)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95957","description":"Digital Analysis, Electroencephalogram (Eeg)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":457.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":299.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":158.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHL2","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Secondary Revision, Orbitocraniofacial Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21275","description":"Secondary Revision, Orbitocraniofacial Reconstruction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1279.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine (IIV), pandemic formulation, split virus, preservative free, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90666","description":"Influenza virus vaccine (IIV), pandemic formulation, split virus, preservative free, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient; 3 key comp; the presenting problem(s) are self-limited or minor; 10 minutes spent with patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9481","description":"Remote in-home visit for the evaluation and management of a new patient; 3 key comp; the presenting problem(s) are self-limited or minor; 10 minutes spent with patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.09,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":28.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medication assisted treatment, buprenorphine (implant removal); weekly bundle incl dispensing and/or admin, substance use counseling, individual/group therapy, toxicology test","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2071","description":"Medication assisted treatment, buprenorphine (implant removal); weekly bundle incl dispensing and/or admin, substance use counseling, individual/group therapy, toxicology test","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AFL4","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vermilionectomy (Lip Shave), W/Mucosal Advancement","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40500","description":"Vermilionectomy (Lip Shave), W/Mucosal Advancement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":769.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BHM1","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Valvuloplasty, Mitral Valve, W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33425","description":"Valvuloplasty, Mitral Valve, W/Cardiopulmonary Bypass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4201.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26390","description":"Flexor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1254.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator/transmitter by phy or other QHC professional; w complex cranial nerve neurostimulator pulse generator","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95977","description":"Electronic analysis of implanted neurostimulator pulse generator/transmitter by phy or other QHC professional; w complex cranial nerve neurostimulator pulse generator","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical, with Total Hysterectomy, for Uterus Greater Than 250g","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58572","description":"Laparoscopy, Surgical, with Total Hysterectomy, for Uterus Greater Than 250g","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1540.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"SAV for the E&M of a new patient, which requires a medically appropriate history and/or examination, low medical decision making, and more than 10 min of medical discussion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98009","description":"SAV for the E&M of a new patient, which requires a medically appropriate history and/or examination, low medical decision making, and more than 10 min of medical discussion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":154.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Activate Matrix, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4301","description":"Activate Matrix, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1806.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Allergy/Clinical Immunologic Service/Proc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95199","description":"Unlisted Allergy/Clinical Immunologic Service/Proc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cortisol; Total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82533","description":"Cortisol; Total","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.93,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Wrist Cock-Up Non-Molded","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908","description":"Wrist Cock-Up Non-Molded","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":86.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":69.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":69.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":86.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AGMW","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BFLX","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Burr Hole Craniotomy with Implantation of Subcortical Electrode Array, w Intraop Microelectrode Recording; First Array","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61867","description":"Burr Hole Craniotomy with Implantation of Subcortical Electrode Array, w Intraop Microelectrode Recording; First Array","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3551.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BHPT","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Real-time fluorescence wound imaging in darkness to locate bacterial pathogens and measure wound size; per session, first anatomic site (e.g., lower extremity)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0598T","description":"Real-time fluorescence wound imaging in darkness to locate bacterial pathogens and measure wound size; per session, first anatomic site (e.g., lower extremity)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood Count; Automated Differential Wbc Count","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85004","description":"Blood Count; Automated Differential Wbc Count","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":7.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Lactoferrin, fecal; quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83631","description":"Lactoferrin, fecal; quantitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":21.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5AHKU","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteotomy, Multiple, Femoral Shaft, W/Realignment On Intramedullary Rod","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27454","description":"Osteotomy, Multiple, Femoral Shaft, W/Realignment On Intramedullary Rod","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1982.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21188","description":"Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/Obtaining Autografts","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2494.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dynamic adjustable ankle flexion only device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1823","description":"Dynamic adjustable ankle flexion only device, includes soft interface material","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2822.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ligation, Peritoneal-Venous Shunt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49428","description":"Ligation, Peritoneal-Venous Shunt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":704.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2180","description":"Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, fulvestrant (Fresenius Kabi) not therapeutically equivalent to J9395, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9394","description":"Injection, fulvestrant (Fresenius Kabi) not therapeutically equivalent to J9395, 25 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sanopellis, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4308","description":"Sanopellis, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Breast reconstruction; with latissimus dorsi flap","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"19361","description":"Breast reconstruction; with latissimus dorsi flap","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2405.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22610","description":"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1945.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Treatment, Tarsal Bone Fx (Except Talus & Calcaneus); W/O Manipulation, Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28450","description":"Treatment, Tarsal Bone Fx (Except Talus & Calcaneus); W/O Manipulation, Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":327.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Liver, Needle; Indicated Purpose, W/Other Major Proc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47001","description":"Bx, Liver, Needle; Indicated Purpose, W/Other Major Proc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":160.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Costotransversectomy (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21610","description":"Costotransversectomy (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1811.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair cleft hand","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26580","description":"Repair cleft hand","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2253.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"LO, sagitt control/w/rigid post panel(s)/post extends from L-1 < L-5 vertebra/produces intracavitary pressure to reduce load on IVD, incl straps/closures, prefab item/custom","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0626","description":"LO, sagitt control/w/rigid post panel(s)/post extends from L-1 < L-5 vertebra/produces intracavitary pressure to reduce load on IVD, incl straps/closures, prefab item/custom","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":89.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":72.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":72.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Ascend Aorta Grft W/Wo Valve Suspens; W/Aortic Root Replace, W/Composite Prosthes/Coron Reconstruct","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33863","description":"Ascend Aorta Grft W/Wo Valve Suspens; W/Aortic Root Replace, W/Composite Prosthes/Coron Reconstruct","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4851.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - Surgical Aftercare - Medium, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2GB31","description":"Early - Institutional, MMTA - Surgical Aftercare - Medium, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tenolysis, Flexor, Foot; Multiple Tendons","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28222","description":"Tenolysis, Flexor, Foot; Multiple Tendons","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":776.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Tumor, Soft Tissue of Leg or Ankle Area, Subcutaneous; 3 cm or greater","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27632","description":"Excision, Tumor, Soft Tissue of Leg or Ankle Area, Subcutaneous; 3 cm or greater","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":630.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Culture, Typing; Id By Nucleic Acid Probe","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87149","description":"Culture, Typing; Id By Nucleic Acid Probe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.06,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36569","description":"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":376.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":376.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO, Triplanar Control, Hyperextension, Rigid Anterior And Lateral Fr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0472","description":"TLSO, Triplanar Control, Hyperextension, Rigid Anterior And Lateral Fr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":531.01,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":431.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Prescription/Fitting Contact Lens W/Medical Supervision, Independent Tech; Corneoscleral Lens","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92317","description":"Prescription/Fitting Contact Lens W/Medical Supervision, Independent Tech; Corneoscleral Lens","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":113.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bilirubin; Direct","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82248","description":"Bilirubin; Direct","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Carry D/C status","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8986","description":"Carry D/C status","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Doc of medical reason(s) for not currently being a statin therapy user/receiving an order (prescription) for statin therapy (e.g., patients with statin-assoc muscle symptoms)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9781","description":"Doc of medical reason(s) for not currently being a statin therapy user/receiving an order (prescription) for statin therapy (e.g., patients with statin-assoc muscle symptoms)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Term dev mech hook vol open","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6706","description":"Term dev mech hook vol open","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":379.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":467.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CFM3","description":"Early Episode, 14-19 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":"Mastectomy Sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8010","description":"Mastectomy Sleeve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Vaginal Approach; W/Anterior &/Or Posterior Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57555","description":"Excision, Cervical Stump, Vaginal Approach; W/Anterior &/Or Posterior Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":907.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of patients with diabetes who have a most recent fasting or direct LDL- C laboratory test result < 70 mg/dl and are not taking statin therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9783","description":"Documentation of patients with diabetes who have a most recent fasting or direct LDL- C laboratory test result < 70 mg/dl and are not taking statin therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Placement of Needles or Catheters into Pelvic Organs and Genitalia Except Prostate for Radioelement Application","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55920","description":"Placement of Needles or Catheters into Pelvic Organs and Genitalia Except Prostate for Radioelement Application","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":684.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flexible endoscopic evaluation of swallowing by cine or video recording; interpretation and report only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92613","description":"Flexible endoscopic evaluation of swallowing by cine or video recording; interpretation and report only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"surgical placement of mini implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6013","description":"surgical placement of mini implant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1061.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Matristem burn matrix, per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4120","description":"Matristem burn matrix, per square centimeter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AHK5","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Strabismus Surgery, Recession/Resection; 2+ Vertical Muscles (Exc Sup Oblique)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67316","description":"Strabismus Surgery, Recession/Resection; 2+ Vertical Muscles (Exc Sup Oblique)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1204.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGN1","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chemical Pleurodesis (eg, for Recurrent or Persistent Pneumothorax)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32560","description":"Chemical Pleurodesis (eg, for Recurrent or Persistent Pneumothorax)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":367.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Initial nursing facility care, per day, for the E&M of a pt, req a medically appropriate Hx and/or exam and high level decision making. Total time of the encounter = 50 min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99306","description":"Initial nursing facility care, per day, for the E&M of a pt, req a medically appropriate Hx and/or exam and high level decision making. Total time of the encounter = 50 min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":249.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reusable underpad chair size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4540","description":"Reusable underpad chair size","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BFMW","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reoperation, Femoral-Popliteal/Femoral/Other Distal Vessels, >1 Month Postop","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35700","description":"Reoperation, Femoral-Popliteal/Femoral/Other Distal Vessels, >1 Month Postop","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":237.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ESRD related svc 2-3mo <2yrs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0309","description":"ESRD related svc 2-3mo <2yrs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mediastinotomy W/Exploration, Drainage & Removal Fb/Bx; Transthoracic Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"39010","description":"Mediastinotomy W/Exploration, Drainage & Removal Fb/Bx; Transthoracic Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1208.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CT Scan, maxillofacial area; without contrast material","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70486","description":"CT Scan, maxillofacial area; without contrast material","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":208.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":143.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64473","description":"Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":217.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"InnovaMatrix AC, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2001","description":"InnovaMatrix AC, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2150.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oral/Facial Images (Includes Intra And Extraoral Images)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0350","description":"Oral/Facial Images (Includes Intra And Extraoral Images)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Breast Lesion(S), Open, Male/Female; 1 Or More","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"19120","description":"Excision, Breast Lesion(S), Open, Male/Female; 1 Or More","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":746.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, W/Removal, Fb/Calculus/Ureteral Stent; Complicated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52315","description":"Cystourethroscopy, W/Removal, Fb/Calculus/Ureteral Stent; Complicated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":625.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrotomy, W/Exploration/Drainage/Removal Loose/Fb; Metatarsophalangeal Joint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28022","description":"Arthrotomy, W/Exploration/Drainage/Removal Loose/Fb; Metatarsophalangeal Joint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":742.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ketosteroids, 17- (17-Ks); Fractionation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83593","description":"Ketosteroids, 17- (17-Ks); Fractionation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":31.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Medication assisted treatment, naltrexone; weekly bundle including dispensing and/or administration, substance use counseling, individual/group therapy, and toxicology test","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2073","description":"Medication assisted treatment, naltrexone; weekly bundle including dispensing and/or administration, substance use counseling, individual/group therapy, and toxicology test","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance and device eval when performed; right atrial pacemaker component","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0802T","description":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance and device eval when performed; right atrial pacemaker component","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":885.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Bone, Superficial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20240","description":"Bx, Bone, Superficial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":233.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":233.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Man's Shoe Oxford Brace","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3225","description":"Man's Shoe Oxford Brace","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.42,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":60.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Crown - Resin With High Noble Metal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6720","description":"Crown - Resin With High Noble Metal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":842.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home sleep test/type II Porta","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0398","description":"Home sleep test/type II Porta","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":112.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":152.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - Infectious - High, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4KC31","description":"Late - Institutional, MMTA - Infectious - High, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Traction Stand Free Standing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0850","description":"Traction Stand Free Standing","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":127.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":127.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bronchoscopy, Rigid/Flexible; Dx, W/Wo Cell Washing (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31622","description":"Bronchoscopy, Rigid/Flexible; Dx, W/Wo Cell Washing (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":363.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO, Triplanar Control, Modular Segmented Spinal Syst, Three Rigid Pl","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0462","description":"TLSO, Triplanar Control, Modular Segmented Spinal Syst, Three Rigid Pl","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1165.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1433.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Lesion/Tumor (Except Listed Above), Dentoalveolar Structures; W/Simple Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"41826","description":"Excision, Lesion/Tumor (Except Listed Above), Dentoalveolar Structures; W/Simple Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":486.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Any LDL-C laboratory result >= 190 mg/dl","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9663","description":"Any LDL-C laboratory result >= 190 mg/dl","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Kne-Shin Exo Sng Axi Mnl Loc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5710","description":"Kne-Shin Exo Sng Axi Mnl Loc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":533.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":433.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage External Auditory Canal, Abscess","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69020","description":"Drainage External Auditory Canal, Abscess","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":348.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":348.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophageal Balloon Distension study, diagnostic, with Provocation when performed.","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91040","description":"Esophageal Balloon Distension study, diagnostic, with Provocation when performed.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":562.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":638.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":638.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":638.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":562.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":562.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Miscellaneous Proc, Dx Nuclear Medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78999","description":"Unlisted Miscellaneous Proc, Dx Nuclear Medicine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracotomy, Limited, Bx, Lung/Pleura","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32095","description":"Thoracotomy, Limited, Bx, Lung/Pleura","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Multiple Osteotomies W/Realignment On Intramedullary Rod, Humeral Shaft (Sofield Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24410","description":"Multiple Osteotomies W/Realignment On Intramedullary Rod, Humeral Shaft (Sofield Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1613.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient did not die within 30 days of the procedure or during the index hospitalization","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9813","description":"Patient did not die within 30 days of the procedure or during the index hospitalization","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0824T","description":"Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance, when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1364.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tobacco Nonuser","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1036F","description":"Tobacco Nonuser","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ft Insert Ucb Berkeley Shell","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3000","description":"Ft Insert Ucb Berkeley Shell","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":360.75,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":293.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Lens Lenticular Bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2115","description":"Lens Lenticular Bifocal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":102.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hi energy neutron radiation treatmt deliv; 1/> isocenters w coplanar/non-copl geomtry w blocking &/ wedge,&/compensators","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77423","description":"Hi energy neutron radiation treatmt deliv; 1/> isocenters w coplanar/non-copl geomtry w blocking &/ wedge,&/compensators","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":160.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":160.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Selective Catheter Placement, Vertebral Artery, Unilateral, With Angiography Of The Ipsilateral Vertebral Circulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36226","description":"Selective Catheter Placement, Vertebral Artery, Unilateral, With Angiography Of The Ipsilateral Vertebral Circulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2681.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"patients who have ever had a fasting or direct laboratory result of LDL-C=190 mg/dl","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9675","description":"patients who have ever had a fasting or direct laboratory result of LDL-C=190 mg/dl","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2052","description":"Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dynamic adjustable knee extension only device, includes soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1813","description":"Dynamic adjustable knee extension only device, includes soft interface material","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2783.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrotomy, Knee, W/Exploration, Drainage/Removal, Fb","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27310","description":"Arthrotomy, Knee, W/Exploration, Drainage/Removal, Fb","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1112.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cholangiography &/Or Pancreatography; Intraoperative, Radiological S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74300","description":"Cholangiography &/Or Pancreatography; Intraoperative, Radiological S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":42.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":67.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20240","description":"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":233.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":233.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1906","description":"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":132.31,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":107.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Operative Tissue Ablation and Reconstruction of Atria, Extensive (Eg, Maze Procedure); with Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33256","description":"Operative Tissue Ablation and Reconstruction of Atria, Extensive (Eg, Maze Procedure); with Cardiopulmonary Bypass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2988.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient age 66+ in institutional special needs plans or residing in long-term care with POS code 32, 33, 34, 54 or 56 for 90+ consecutive days during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2108","description":"Patient age 66+ in institutional special needs plans or residing in long-term care with POS code 32, 33, 34, 54 or 56 for 90+ consecutive days during the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Safety Vest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0980","description":"Wheelchair Safety Vest","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":4.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":45.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Resin-Based Composite - Two Surfaces, Posterior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2392","description":"Resin-Based Composite - Two Surfaces, Posterior","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":169.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of Tunneled Centrally Inserted Central Venous Access Device, Two Caths Via Two Access Sites; wo Sq Port / Pump","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36565","description":"Insertion of Tunneled Centrally Inserted Central Venous Access Device, Two Caths Via Two Access Sites; wo Sq Port / Pump","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1335.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anterior Tibial Tubercleplasty","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27418","description":"Anterior Tibial Tubercleplasty","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1255.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc supervision palliative","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9054","description":"Onc supervision palliative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Doppler Velocimetry, Fetal; Middle Cerebral Artery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76821","description":"Doppler Velocimetry, Fetal; Middle Cerebral Artery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":140.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":85.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Integrated Filter & Holder","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7507","description":"Integrated Filter & Holder","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous nephrolithotomy/pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50080","description":"Percutaneous nephrolithotomy/pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1331.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Paracentesis, Eye, Anterior Chamber (Sep Proc); W/Dx Aspiration, Aqueous","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65800","description":"Paracentesis, Eye, Anterior Chamber (Sep Proc); W/Dx Aspiration, Aqueous","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":178.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Filleted Finger/Toe Flap, W/Preparation, Recipient Site","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"14350","description":"Filleted Finger/Toe Flap, W/Preparation, Recipient Site","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1045.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Protozoa, Not Elsewhere Specified","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86753","description":"Antibody; Protozoa, Not Elsewhere Specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Orbitocranial Zygomatic Approach To Middle Cranial Fossa","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61592","description":"Orbitocranial Zygomatic Approach To Middle Cranial Fossa","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4911.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient receiving an anti-TNF agent","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9914","description":"Patient receiving an anti-TNF agent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cytogenomic (genome-wide) anal constitu chromosomal abnormal; interrogation of genomic regions for copy number variants, comp genomic hybridization [CGH] microarray analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81228","description":"Cytogenomic (genome-wide) anal constitu chromosomal abnormal; interrogation of genomic regions for copy number variants, comp genomic hybridization [CGH] microarray analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":990.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":990.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":990.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":990.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Hepatic/Celiac/Renal/Mesenteric Artery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35121","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Hepatic/Celiac/Renal/Mesenteric Artery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2565.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hmes Or Trach Valve Housing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7505","description":"Hmes Or Trach Valve Housing","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":6.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"At least 1 body temperature measurement >= 35.5 degrees celsius achieved within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9771","description":"At least 1 body temperature measurement >= 35.5 degrees celsius achieved within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adjust Partial Denture - Mandibular","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5422","description":"Adjust Partial Denture - Mandibular","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9991","description":"Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1961.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum d/o), quant. measure of 14 acyl carnitines and microbiome-derived metabolites, LC-MS/MS, plasma, neg or pos for risk metabolic subtypes assoc w/ASD","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0322U","description":"Neurology (autism spectrum d/o), quant. measure of 14 acyl carnitines and microbiome-derived metabolites, LC-MS/MS, plasma, neg or pos for risk metabolic subtypes assoc w/ASD","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":825.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision Aural Polyp","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69540","description":"Excision Aural Polyp","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":313.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amputation, Arm Through Humerus; Re-Amputation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24930","description":"Amputation, Arm Through Humerus; Re-Amputation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1156.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Upper Gi Endoscopy; W/Transendoscopic Tube Placement, Intraluminal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43241","description":"Upper Gi Endoscopy; W/Transendoscopic Tube Placement, Intraluminal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":222.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Penile Plaque (Peyronie Disease); W/Graft > 5 Cm In Length","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54112","description":"Excision, Penile Plaque (Peyronie Disease); W/Graft > 5 Cm In Length","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1435.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lipoprotein, Direct Measurement; Direct Measurement, Vldl Cholesterol","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83719","description":"Lipoprotein, Direct Measurement; Direct Measurement, Vldl Cholesterol","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":14.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - GI/GU - Low, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2JA21","description":"Early - Institutional, MMTA - GI/GU - Low, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Professional services for the administration of intravenous chemo, other intravenous complex drug or biological infusion for each administration calendar day in the home","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0070","description":"Professional services for the administration of intravenous chemo, other intravenous complex drug or biological infusion for each administration calendar day in the home","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":542.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Rectal Procidentia, W/Anastomosis; Perineal Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45130","description":"Excision, Rectal Procidentia, W/Anastomosis; Perineal Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1672.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophageal balloon distension study, diagnostic, with provocation when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91040","description":"Esophageal balloon distension study, diagnostic, with provocation when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":562.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":638.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":638.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":638.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":562.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":562.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":75.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Keramatrix, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4165","description":"Keramatrix, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatobiliary System Imaging, Including Gallbladder When Present;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78226","description":"Hepatobiliary System Imaging, Including Gallbladder When Present;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":513.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":457.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Flexible Fiberoptic Endoscopic Eval, Swallow, Cine/Video Record; interpretation and report only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92613","description":"Flexible Fiberoptic Endoscopic Eval, Swallow, Cine/Video Record; interpretation and report only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Venipuncture, < Age 3; Other Vein","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","description":"Venipuncture, < Age 3; Other Vein","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":28.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Compatibility Test Each Unit; Incubation Technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86921","description":"Compatibility Test Each Unit; Incubation Technique","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":41.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Gi Reconstruction, Prior Esophagectomy; W/Colon Interposition/Sm Bowel Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43361","description":"Gi Reconstruction, Prior Esophagectomy; W/Colon Interposition/Sm Bowel Reconstruction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3966.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Femur, Distal To Head/Neck; W/O Graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27470","description":"Repair, Nonunion/Malunion, Femur, Distal To Head/Neck; W/O Graft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1794.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Upper Facial Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8043","description":"Upper Facial Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4363.88,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3547.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGL3","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Detach Adjust Armrest Base","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0017","description":"Detach Adjust Armrest Base","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":57.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":57.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":57.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":57.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Suture, Secondary, Abdominal Wall, Evisceration/Dehiscence","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49900","description":"Suture, Secondary, Abdominal Wall, Evisceration/Dehiscence","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1248.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ortho Shoe Add Half Sole","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3530","description":"Ortho Shoe Add Half Sole","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":36.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, vancomycin HCl (Mylan) not therapeutically equivalent to J3373, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3374","description":"Injection, vancomycin HCl (Mylan) not therapeutically equivalent to J3373, 10 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, Behavioral Health - Low, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1FA21","description":"Early - Community, Behavioral Health - Low, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Digoxin; free","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80163","description":"Digoxin; free","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oxygen Therapy RX","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4030F","description":"Oxygen Therapy RX","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Eval, Prescrip, Speech-Generating Augmentative & Alternative Communication Device; Ea Additional 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92608","description":"Eval, Prescrip, Speech-Generating Augmentative & Alternative Communication Device; Ea Additional 30 Minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":79.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":79.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Craniofacial Separation (Lefort Iii Type) W/Fixation/Splint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21431","description":"Closed Treatment, Craniofacial Separation (Lefort Iii Type) W/Fixation/Splint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1119.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Collagen Dressing <=16 Sq In","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6021","description":"Collagen Dressing <=16 Sq In","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":28.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Amplified Probe","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87496","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Cytomegalovirus, Amplified Probe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":38.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Embedded Fb, Vestibule, Mouth; Complicated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40805","description":"Removal, Embedded Fb, Vestibule, Mouth; Complicated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":494.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ureteral Endoscopy Through Ureterostomy; W/Ureteral Catheterization, W/Wo Dilation, Ureter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50953","description":"Ureteral Endoscopy Through Ureterostomy; W/Ureteral Catheterization, W/Wo Dilation, Ureter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":605.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bed Cradle","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0280","description":"Bed Cradle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":38.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroplasty, Patella; W/O Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27437","description":"Arthroplasty, Patella; W/O Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1007.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Calcium; Urine Quantitative, Timed Specimen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82340","description":"Calcium; Urine Quantitative, Timed Specimen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":6.63,"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; 11-19mev","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G6013","description":"Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":395.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81329","description":"SMN1 (survival of motor neuron 1, telomeric) gene analysis; dosage/deletion analysis, includes SMN2 (survival of motor neuron 2, centromeric) analysis, if performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Tlk: vis fxn & qual life/trxmnt 4 pt/crgvr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4174F","description":"Tlk: vis fxn & qual life/trxmnt 4 pt/crgvr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGPX","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bls Mileage (Per Mile)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0380","description":"Bls Mileage (Per Mile)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53451","description":"Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and imaging guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":623.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inf dis(bact vaginosis/vaginitis), probe tech, det of bact vaginosis-assoc, det/not det and sep det Candida, Candida glabrata/krusei, trichomonas vaginalis, vaginal-fluid spec","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0352U","description":"Inf dis(bact vaginosis/vaginitis), probe tech, det of bact vaginosis-assoc, det/not det and sep det Candida, Candida glabrata/krusei, trichomonas vaginalis, vaginal-fluid spec","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":142.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Single Transvenous Electrode, Single Chamber Pacemaker/Pacing Cardiovert-Defib","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33218","description":"Repair, Single Transvenous Electrode, Single Chamber Pacemaker/Pacing Cardiovert-Defib","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":597.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Quantification","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87542","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Legionella Pneumophila, Quantification","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.94,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":45.94,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3761","description":"Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":522.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Twist Drill Hole, Subdural/Ventricular Puncture; Evacuation &/Or Drainage, Hematoma","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61108","description":"Twist Drill Hole, Subdural/Ventricular Puncture; Evacuation &/Or Drainage, Hematoma","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1402.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHKT","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Angiography, Extremity, Bilat, Radiological S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75716","description":"Angiography, Extremity, Bilat, Radiological S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":182.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":279.31,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":96.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the SIP component of the PCF model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2020","description":"Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the SIP component of the PCF model","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unplanned rupture of the posterior capsule requiring vitrectomy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9389","description":"Unplanned rupture of the posterior capsule requiring vitrectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Statin not prescribed at discharge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9443","description":"Statin not prescribed at discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2330","description":"Power wheelchair accessory, head control interface, proximity switch mechanism, nonproportional","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":402.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":7476.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":4043.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Therapeutic radiology port images(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77417","description":"Therapeutic radiology port images(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Selective Catheterization, Arterial; 2nd Order Abdominal/Pelvic/Lower Extremity Artery Branch","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36246","description":"Selective Catheterization, Arterial; 2nd Order Abdominal/Pelvic/Lower Extremity Artery Branch","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1237.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Renal Vein Renin Stimulation Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80416","description":"Renal Vein Renin Stimulation Panel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":230.25,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":230.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes [MELAS], myoclonic epilepsy with ragged-red fibers [","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81460","description":"Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes [MELAS], myoclonic epilepsy with ragged-red fibers [","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1415.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1415.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Coude Tip Urinary Catheter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4352","description":"Coude Tip Urinary Catheter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":8.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Corticosterone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82528","description":"Corticosterone","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":24.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2010","description":"Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5BHK4","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"preventative behavior change, intensive program of prevention program curriculum, provided to individuals in a group setting, minimum 60 minutes, per day","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0403T","description":"preventative behavior change, intensive program of prevention program curriculum, provided to individuals in a group setting, minimum 60 minutes, per day","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracoscopy, Surgical; W/Creation, Pericardial Window/Resection Pericardial Sac, Drainage","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32659","description":"Thoracoscopy, Surgical; W/Creation, Pericardial Window/Resection Pericardial Sac, Drainage","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1121.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Single Ventricle W/Aortic Outflow Obstruction & Arch Hypoplasia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33619","description":"Repair, Single Ventricle W/Aortic Outflow Obstruction & Arch Hypoplasia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4211.38,"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 1,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CFK6","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - GI/GU - High, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2JC21","description":"Early - Institutional, MMTA - GI/GU - High, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CHK2","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crown 3/4 resin-based compos","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2712","description":"Crown 3/4 resin-based compos","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":614.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - Surgical Aftercare - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1GA31","description":"Early - Community, MMTA - Surgical Aftercare - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anti-Phosphatidylserine (Phospholipid) Antibody","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86148","description":"Anti-Phosphatidylserine (Phospholipid) Antibody","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":17.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultraviolet Light Therapy System Panel, Includes Bulbs/Lamps, Timer An","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0693","description":"Ultraviolet Light Therapy System Panel, Includes Bulbs/Lamps, Timer An","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1897.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":189.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1897.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFLX","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Renal Endoscopy Through Nephrostomy/Pyelostomy; W/Ureteral Catheterization, W/Wo Dilation, Ureter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50553","description":"Renal Endoscopy Through Nephrostomy/Pyelostomy; W/Ureteral Catheterization, W/Wo Dilation, Ureter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":585.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - Respiratory - Medium, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2LB11","description":"Early - Institutional, MMTA - Respiratory - Medium, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Therapeutic Apheresis; Red Blood Cells","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36512","description":"Therapeutic Apheresis; Red Blood Cells","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":144.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient counseled regarding psychosocial AND pharmacologic treatment options for alcohol dependence (SUD)5","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4320F","description":"Patient counseled regarding psychosocial AND pharmacologic treatment options for alcohol dependence (SUD)5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BFL3","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, Neuro - High, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BC11","description":"Late - Institutional, Neuro - High, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage Ext Auditory Canal, Abscess","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69020","description":"Drainage Ext Auditory Canal, Abscess","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":348.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":348.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"O2 Saturation Doc Rev","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3028F","description":"O2 Saturation Doc Rev","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81337","description":"SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":203.72,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":203.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Triiodothyronine T3; Total (Tt-3)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84480","description":"Triiodothyronine T3; Total (Tt-3)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Thromboxane Metabolite(s), Including Thromboxane If Performed, Urine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84431","description":"Thromboxane Metabolite(s), Including Thromboxane If Performed, Urine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.62,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":38.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Axilla-Brachial Artry, Arm Incision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35011","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Axilla-Brachial Artry, Arm Incision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1561.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Zaire ebolavirus vaccine, live, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90758","description":"Zaire ebolavirus vaccine, live, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gen use back cush wdth <22in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2611","description":"Gen use back cush wdth <22in","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":181.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":18.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":181.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"AmnioArmor, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4188","description":"AmnioArmor, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":487.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Multi-Durometer Below Knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5665","description":"Multi-Durometer Below Knee","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":600.15,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":487.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Residual Limb Support System For Wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1020","description":"Residual Limb Support System For Wheelchair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":379.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":21.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":287.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81249","description":"G6PD (glucose-6-phosphate dehydrogenase) (eg, hemolytic anemia, jaundice), gene analysis; full gene sequence","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":660.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":660.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ed svc CKD ind per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0420","description":"Ed svc CKD ind per session","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":162.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Monthly supplies for use of device coded at E0733","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4541","description":"Monthly supplies for use of device coded at E0733","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Venous thromboembolism (VTE) prophylaxis received (IBD)10","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4069F","description":"Venous thromboembolism (VTE) prophylaxis received (IBD)10","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO Flexible, Provides Trunk Support, Extends From Sacrococcygeal Jun","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0454","description":"TLSO Flexible, Provides Trunk Support, Extends From Sacrococcygeal Jun","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":323.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":398.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - Surgical Aftercare - Low, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1GA11","description":"Early - Community, MMTA - Surgical Aftercare - Low, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lens Aniseikonic Bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2218","description":"Lens Aniseikonic Bifocal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":128.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lens Sphcy Trifocal 4.0/2.25","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2304","description":"Lens Sphcy Trifocal 4.0/2.25","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":81.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement, Catheter Only, of Central Venous Access Device, with Sq Port or Pump, Central or Peripheral Insertion Site","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36578","description":"Replacement, Catheter Only, of Central Venous Access Device, with Sq Port or Pump, Central or Peripheral Insertion Site","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":675.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CGMW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Postop App Non-Wgt Bear Dsg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5460","description":"Postop App Non-Wgt Bear Dsg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":684.72,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":556.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Genioplasty; Sliding Osteotomy, Single Piece","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21121","description":"Genioplasty; Sliding Osteotomy, Single Piece","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1229.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Decompression; Plantar Digital Nerve","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64726","description":"Decompression; Plantar Digital Nerve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":414.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Trypsin; Feces, Quantitative, 24-Hour Collection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84490","description":"Trypsin; Feces, Quantitative, 24-Hour Collection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":10.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Radiological Guided, Percut Drainage, W/Catheter Placement, S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75989","description":"Radiological Guided, Percut Drainage, W/Catheter Placement, S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":181.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":87.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Collection of Blood Specimen Using Established Central or Peripheral Catheter, Venous, Not Otherwise Specified","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36592","description":"Collection of Blood Specimen Using Established Central or Peripheral Catheter, Venous, Not Otherwise Specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Tibial Fx, Proximal; Unicondylar, W/Wo Int/Ext Fix","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27535","description":"Open Treatment, Tibial Fx, Proximal; Unicondylar, W/Wo Int/Ext Fix","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1370.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"LVEF <40% or dep lv sys fcn","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8934","description":"LVEF <40% or dep lv sys fcn","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lightweight Wheelchair - with Rental Modifier (RR)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0003","description":"Lightweight Wheelchair - with Rental Modifier (RR)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":40.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":40.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":40.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Andrology, sperm-cap ax of ganglioside GM1 dist patt, fluor microsc, fresh or frozen spec, rprtd as pct of capacitated sperm and pbty of genr a pregnancy score","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0255U","description":"Andrology, sperm-cap ax of ganglioside GM1 dist patt, fluor microsc, fresh or frozen spec, rprtd as pct of capacitated sperm and pbty of genr a pregnancy score","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":34.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sympathectomy, Lumbar","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64818","description":"Sympathectomy, Lumbar","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":871.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hla Class I And Ii Typing, Low Resolution (Eg, Antigen Equivalents); Hla-A, -B, -C, -Drb1/3/4/5, And -Dqb1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81370","description":"Hla Class I And Ii Typing, Low Resolution (Eg, Antigen Equivalents); Hla-A, -B, -C, -Drb1/3/4/5, And -Dqb1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":442.33,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":442.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Patient did not receive follow-up on the date of discharge or within 30 days after discharge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9404","description":"Patient did not receive follow-up on the date of discharge or within 30 days after discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BFLX","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chlamydia and gonorrhea screenings documented as performed (HIV)5","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3511F","description":"Chlamydia and gonorrhea screenings documented as performed (HIV)5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55881","description":"Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16028.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Stance phase only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5858","description":"Stance phase only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21385.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, MMTA - Cardiac - High, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3HC31","description":"Late - Community, MMTA - Cardiac - High, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - Respiratory - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1LA31","description":"Early - Community, MMTA - Respiratory - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Private duty/independent nursing service(s) - licensed, up to 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1000","description":"Private duty/independent nursing service(s) - licensed, up to 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TE"},{"negotiated_type":"fee schedule","negotiated_rate":38.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TD"}]}]},{"negotiation_arrangement":"ffs","name":"Patient navigational services, provided directly or by referral; each additional 30 minutes of services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0535","description":"Patient navigational services, provided directly or by referral; each additional 30 minutes of services","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Parenteral Sol > 100gm Prote","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4199","description":"Parenteral Sol > 100gm Prote","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":452.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - Infectious - High, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4KC11","description":"Late - Institutional, MMTA - Infectious - High, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Mumps","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86735","description":"Antibody; Mumps","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction, Flat Warts, Molluscum Contagiosum/Milia; Up To 14 Lesions","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17110","description":"Destruction, Flat Warts, Molluscum Contagiosum/Milia; Up To 14 Lesions","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":166.42,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":166.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bath Tub Wall Rail","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0241","description":"Bath Tub Wall Rail","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":37.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, H5N8, derived from cell cultures, adjuvanted, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90695","description":"Influenza virus vaccine, H5N8, derived from cell cultures, adjuvanted, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgery","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9389","description":"Unplanned rupture of the posterior capsule requiring vitrectomy during cataract surgery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sperm Evaluation; Cervical Mucus Penetration Test, W/Wo Spinnbarkeit Test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89330","description":"Sperm Evaluation; Cervical Mucus Penetration Test, W/Wo Spinnbarkeit Test","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.42,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":11.42,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent, derived from recombinant DNA (RIV3), hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90673","description":"Influenza virus vaccine, trivalent, derived from recombinant DNA (RIV3), hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal of fixed unilateral space maintainer - per quadrant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D1556","description":"Removal of fixed unilateral space maintainer - per quadrant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, nonstandard seat frame depth, 20-22 in.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2203","description":"Manual wheelchair accessory, nonstandard seat frame depth, 20-22 in.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":499.99,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":499.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":50.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Curettage/Cautery, Anal Fissure W/Dilation Sphincter (Sep Proc); Initial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46940","description":"Curettage/Cautery, Anal Fissure W/Dilation Sphincter (Sep Proc); Initial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":346.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Primary, Torn Ligament &/Or Capsule, Knee; Collateral & Cruciate Ligaments","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27409","description":"Repair, Primary, Torn Ligament &/Or Capsule, Knee; Collateral & Cruciate Ligaments","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1472.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Contact Layer >16<= 48 Sq In","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6207","description":"Contact Layer >16<= 48 Sq In","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"In-Situ Vein Bypass; Aortofemoral-Popliteal (Only Femoral-Popliteal Portion In-Situ)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35582","description":"In-Situ Vein Bypass; Aortofemoral-Popliteal (Only Femoral-Popliteal Portion In-Situ)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.00d/4.25-6d","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2105","description":"Spherocylinder 4.00d/4.25-6d","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CFKS","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"patient was referred to hospice care","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9524","description":"patient was referred to hospice care","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Placement, Choledochal Stent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47801","description":"Placement, Choledochal Stent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1537.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood Bank Physician Services; Investigation, Transfusion Rxn, Interpretation & Written Report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86078","description":"Blood Bank Physician Services; Investigation, Transfusion Rxn, Interpretation & Written Report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":84.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Selective Catheter Placement, Each Intracran Branch Int Carotid/Verteb Arts, Unilat, W Angio Of The Selected Vessel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36228","description":"Selective Catheter Placement, Each Intracran Branch Int Carotid/Verteb Arts, Unilat, W Angio Of The Selected Vessel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1920.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Nail Unit (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11755","description":"Bx, Nail Unit (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":199.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for low back 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":"G8661","description":"Risk-adjusted functional status change residual score for low back impairment not measured b/c the patient did not complete the FS status survey near discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Elbow Disarticulation Switch","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6940","description":"Elbow Disarticulation Switch","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11848.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Partial Excision, Bone, Radial Head/Neck","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24145","description":"Partial Excision, Bone, Radial Head/Neck","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":889.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92235","description":"Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":65.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":65.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":63.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":128.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":128.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Craniotomy W/Elevation, Bone Flap; Excision, Craniopharyngioma","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61545","description":"Craniotomy W/Elevation, Bone Flap; Excision, Craniopharyngioma","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4980.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shaving Skin Lesion, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane; Diameter 0.5 Cm/<","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11310","description":"Shaving Skin Lesion, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane; Diameter 0.5 Cm/<","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":171.72,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":171.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Coronary Artery Bypass, Using Arterial Graft(S); 2 Coronary Arterial Grafts","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33534","description":"Coronary Artery Bypass, Using Arterial Graft(S); 2 Coronary Arterial Grafts","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3381.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91319","description":"Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, spike protein, 10 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":87.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"U1"},{"negotiated_type":"fee schedule","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"SL"},{"negotiated_type":"fee schedule","negotiated_rate":43.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":87.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power Operated Vehicle","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1230","description":"Power Operated Vehicle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":258.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":2623.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2623.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"MR safety med physics exam customization, planning and performance monitoring by medical physicist or MR safety expert, with written report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76017","description":"MR safety med physics exam customization, planning and performance monitoring by medical physicist or MR safety expert, with written report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":414.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiac Blood Pool Imaging, Planar, 1st Pass; Single Study & Ejection Fraction W/Wo Quantification","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78481","description":"Cardiac Blood Pool Imaging, Planar, 1st Pass; Single Study & Ejection Fraction W/Wo Quantification","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":197.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":72.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":269.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amputation, Penis; Partial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54120","description":"Amputation, Penis; Partial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":967.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pw actuator replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2378","description":"Pw actuator replacement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":572.01,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":971.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Vasovasostomy, Vasovasorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55400","description":"Vasovasostomy, Vasovasorrhaphy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":762.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CGLS","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Backbench Preparation of Corneal Endothelial Allograft Prior To Transplantation (List Sep)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65757","description":"Backbench Preparation of Corneal Endothelial Allograft Prior To Transplantation (List Sep)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":103.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onsite acute care treatment of a nursing facility resident with pneumonia. May only be billed once per day per beneficiary","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9679","description":"Onsite acute care treatment of a nursing facility resident with pneumonia. May only be billed once per day per beneficiary","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, u-1 non-sealed lead acid battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2364","description":"Power wheelchair accessory, u-1 non-sealed lead acid battery, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":138.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":138.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tumor; Scapula","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23210","description":"Radical Resection, Tumor; Scapula","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2700.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrotomy, Ankle, W/Joint Exploration W/Wo Bx/Removal/Loose/Fb","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27620","description":"Arthrotomy, Ankle, W/Joint Exploration W/Wo Bx/Removal/Loose/Fb","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":691.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Laparoscopy, Uterus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58578","description":"Unlisted Proc, Laparoscopy, Uterus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dermabrasion; Superficial, Any Site","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15783","description":"Dermabrasion; Superficial, Any Site","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":719.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pyelotomy; W/Exploration","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50120","description":"Pyelotomy; W/Exploration","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1476.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion/replacement of peripheral/sacral/gastric neurostimulator pulse generator/receiver, rqd pocket creation & connection b/w electrode array & pulse generator/receiver","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64590","description":"Insertion/replacement of peripheral/sacral/gastric neurostimulator pulse generator/receiver, rqd pocket creation & connection b/w electrode array & pulse generator/receiver","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":400.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BHK1","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hospice Care Supervision","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0182","description":"Hospice Care Supervision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":162.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":162.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anastomosis, Roux-En-Y, Extrahepatic Biliary Ducts & Gi Tract","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47780","description":"Anastomosis, Roux-En-Y, Extrahepatic Biliary Ducts & Gi Tract","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3800.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Miroderm, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4175","description":"Miroderm, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Doc. of medical reason(s) for not on a statin (e.g., pregnancy, in vitro fert., clomiphene Rx, ESRD, cirrhosis, muscular pain &disease during the measurement per/ prior year)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9940","description":"Doc. of medical reason(s) for not on a statin (e.g., pregnancy, in vitro fert., clomiphene Rx, ESRD, cirrhosis, muscular pain &disease during the measurement per/ prior year)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Above Elbow Myoelectronic Ct","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6955","description":"Above Elbow Myoelectronic Ct","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13999.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"End-Stage Renal Disease (ESRD) Related Services for Home Dialysis Per Full Month, for Patients 2-11 Years of Age","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90964","description":"End-Stage Renal Disease (ESRD) Related Services for Home Dialysis Per Full Month, for Patients 2-11 Years of Age","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":712.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminectomy w/exploration, decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy, 1 or 2 vertebral segments; cervical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63001","description":"Laminectomy w/exploration, decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy, 1 or 2 vertebral segments; cervical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1920.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BFKV","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, epinephrine, not otherwise specified, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0165","description":"Injection, epinephrine, not otherwise specified, 0.1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Transvenous Pacemaker Electrode(S); Dual Lead System","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33235","description":"Removal, Transvenous Pacemaker Electrode(S); Dual Lead System","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":979.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Office or other OP consult for new or est. patient, req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 55 min.+","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99245","description":"Office or other OP consult for new or est. patient, req. a medically apt history and/or Ex and high level of medical decision making. Total time of the encounter, 55 min.+","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":333.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":333.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Lacrimal Gland (Dacryoadenectomy), Except, Tumor; Partial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68505","description":"Excision, Lacrimal Gland (Dacryoadenectomy), Except, Tumor; Partial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1456.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood pressure recorded during inpatient stays, emergency room visits, or urgent care visits","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9789","description":"Blood pressure recorded during inpatient stays, emergency room visits, or urgent care visits","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mccd,Phys Coor-Care Ovrsght","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9008","description":"Mccd,Phys Coor-Care Ovrsght","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Resection, Humeral Head","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23195","description":"Resection, Humeral Head","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1150.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fitting, Spectacle Prosthesis, Aphakia; Multifocal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92353","description":"Fitting, Spectacle Prosthesis, Aphakia; Multifocal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":70.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Capsulorrhaphy, Anterior; W/Labral Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23455","description":"Capsulorrhaphy, Anterior; W/Labral Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1517.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Presacral/Sacrococcygeal Tumor","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49215","description":"Excision, Presacral/Sacrococcygeal Tumor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3409.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Parotid Duct Diversion, Bilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42507","description":"Parotid Duct Diversion, Bilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":767.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine (IIV3), split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90656","description":"Influenza virus vaccine (IIV3), split virus, preservative free, when administered to individuals 3 years and older, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64466","description":"Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":230.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHL5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Red cell survival study","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78130","description":"Red cell survival study","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":213.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":259.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Neox 100, per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4156","description":"Neox 100, per square centimeter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":66.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AHMX","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81507","description":"Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":874.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":874.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intracavitary Radiation Source Application; Intermediate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77762","description":"Intracavitary Radiation Source Application; Intermediate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":448.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":336.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":784.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Duplex Scan, Arterial Inflow, Venous Outflow, Abdominal/Pelvic/Retroperitoneal Organs; Complete","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93975","description":"Duplex Scan, Arterial Inflow, Venous Outflow, Abdominal/Pelvic/Retroperitoneal Organs; Complete","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":87.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":422.94,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":335.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Excision Pressure Ulcer","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15999","description":"Unlisted Proc, Excision Pressure Ulcer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4035","description":"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Trachea, Bronchi","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31899","description":"Unlisted Proc, Trachea, Bronchi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Ct Procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76497","description":"Unlisted Ct Procedure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":201.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":157.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":43.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5BGK2","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"admission to Medicare care choice model program (MCCM)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9480","description":"admission to Medicare care choice model program (MCCM)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chemodenervation of trunk muscle(s); 6 or more muscle(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64647","description":"Chemodenervation of trunk muscle(s); 6 or more muscle(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":269.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Long Tongue Stirrup","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2265","description":"Long Tongue Stirrup","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":105.31,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":129.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Proximal Fibula/Shaft Fx, W/Wo Int/Ext Fix","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27784","description":"Open Treatment, Proximal Fibula/Shaft Fx, W/Wo Int/Ext Fix","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1088.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGK4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, Elbow Joint; W/Autogenous Graft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24802","description":"Arthrodesis, Elbow Joint; W/Autogenous Graft (Includes Obtaining Graft)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1502.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: positional headaches","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2191","description":"Patients with clinical indications for imaging of the head: positional headaches","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal of phrenic nerve stimulator, including vessel cath, all imag guidance, and interrogation and programming, when performed; system, including pulse generator and lead(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33278","description":"Removal of phrenic nerve stimulator, including vessel cath, all imag guidance, and interrogation and programming, when performed; system, including pulse generator and lead(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1029.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0520T","description":"Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":862.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Bone Flap/Prosthetic Plate, Skull","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62142","description":"Removal, Bone Flap/Prosthetic Plate, Skull","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1375.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Annual depression screening, 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0444","description":"Annual depression screening, 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drug assay, defin, 120+ drugs/metabolites, urine, quant liquid chromatography w/tandem mass spectrometry, descr drug or metabolite and pres/abs of risks of adversity, per DOS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0328U","description":"Drug assay, defin, 120+ drugs/metabolites, urine, quant liquid chromatography w/tandem mass spectrometry, descr drug or metabolite and pres/abs of risks of adversity, per DOS","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":125.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFPT","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prolonged postoperative intubation (> 24 hrs) required","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8569","description":"Prolonged postoperative intubation (> 24 hrs) required","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis, user adjustable heel height","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5990","description":"Addition to lower extremity prosthesis, user adjustable heel height","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2087.56,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1696.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Thromboendarterectomy, Including Patch Graft, if performed; Popliteal Artery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35303","description":"Thromboendarterectomy, Including Patch Graft, if performed; Popliteal Artery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1927.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and without concomitant cataract removal, one or more","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0671T","description":"Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and without concomitant cataract removal, one or more","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":618.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ko Elas W/ Condyle Pads & Jo","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1820","description":"Ko Elas W/ Condyle Pads & Jo","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":158.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":158.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":129.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":129.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Laminectomy, Bx/Excision, Intraspinal Neoplasm; Extradural, Thoracic","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63276","description":"Laminectomy, Bx/Excision, Intraspinal Neoplasm; Extradural, Thoracic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2772.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"patient survey score improved from baseline following treatment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9603","description":"patient survey score improved from baseline following treatment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11303","description":"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22214","description":"Osteotomy, Spine, Posterior/Posterolateral Approach, 1 Vertebral Segment; Lumbar","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2288.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fecal microbiota prep instil","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0455","description":"Fecal microbiota prep instil","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":192.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection Proc, Ankle Arthrography","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27648","description":"Injection Proc, Ankle Arthrography","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":249.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagoscopy, Rigid/Flexible; W/Transendoscopic Ultrasound Intra-/Transmural Fine Needle Aspir/Bx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43232","description":"Esophagoscopy, Rigid/Flexible; W/Transendoscopic Ultrasound Intra-/Transmural Fine Needle Aspir/Bx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":605.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hospital IP or obs care, for the E/M of pt. incl. A/D on same date, req. a medically apt hx and/or Ex and straightforward or low level of medical dec. Total time; 45 min.+","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99234","description":"Hospital IP or obs care, for the E/M of pt. incl. A/D on same date, req. a medically apt hx and/or Ex and straightforward or low level of medical dec. Total time; 45 min.+","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":199.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Nasal Fx; W/Concomitant Open Treatment, Fxd Septum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21335","description":"Open Treatment, Nasal Fx; W/Concomitant Open Treatment, Fxd Septum","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1099.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band component only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43772","description":"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric band component only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1453.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Quantitative ultrasound tissue characterization (non-elastographic), including interpret/ report, obtained w/diagnostic ultrasound exam of  same anatomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0690T","description":"Quantitative ultrasound tissue characterization (non-elastographic), including interpret/ report, obtained w/diagnostic ultrasound exam of  same anatomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.42,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":23.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Calcaneal Fx, W/Wo Int/Ext Fixation;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28415","description":"Open Treatment, Calcaneal Fx, W/Wo Int/Ext Fixation;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1712.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Skin Barrier Powder Per Oz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4371","description":"Skin Barrier Powder Per Oz","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Whlchr Att- Conv 1 Arm Drive","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0958","description":"Whlchr Att- Conv 1 Arm Drive","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":527.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":515.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":49.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Application of Multi-Layer Venous Wound Compression System, Below Knee","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29581","description":"Application of Multi-Layer Venous Wound Compression System, Below Knee","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":93.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0438","description":"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":256.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient  compression glove, custom, heavy weight, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6580","description":"Gradient  compression glove, custom, heavy weight, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":293.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Elbow Child Myoelectronic Ct","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7191","description":"Elbow Child Myoelectronic Ct","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10833.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Glycated Protein","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82985","description":"Glycated Protein","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology(breast)mRNA gene express profiling hybrid cap 58 genes (50 content&8 housekeeping)utilizing formalin-fixed paraffin-embedded tissue algorithm rpt recurrence risk","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81520","description":"Oncology(breast)mRNA gene express profiling hybrid cap 58 genes (50 content&8 housekeeping)utilizing formalin-fixed paraffin-embedded tissue algorithm rpt recurrence risk","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2761.23,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2761.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression garment, arm, padded, for nighttime use, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6522","description":"Gradient compression garment, arm, padded, for nighttime use, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":290.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Any fasting or direct LDL-C laboratory test result= 190mg/dl","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9663","description":"Any fasting or direct LDL-C laboratory test result= 190mg/dl","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus >250gms","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58553","description":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus >250gms","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1713.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc dx ovarian stg1A-B or 2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9114","description":"Onc dx ovarian stg1A-B or 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0629T","description":"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with CT guidance, lumbar; first level","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":458.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (prostate), anal of circulating plasma proteins, PRS, clinical info, algorithm rep as risk of likelihood of detecting clinically sig prostate cancer","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0495U","description":"Oncology (prostate), anal of circulating plasma proteins, PRS, clinical info, algorithm rep as risk of likelihood of detecting clinically sig prostate cancer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":836.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fasciotomy, Iliotibial (Tenotomy), Open","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27305","description":"Fasciotomy, Iliotibial (Tenotomy), Open","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":729.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 4 genotyping ITGB3  (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-4a/b (R143Q)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81108","description":"Human Platelet Antigen 4 genotyping ITGB3  (eg, neonatal alloimmune thrombocytopenia [NAIT], post-transfusion purpura), gene analysis, common variant, HPA-4a/b (R143Q)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":134.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":134.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Surgery, Intracranial Arteriovenous Malformation; Infratentorial, Simple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61684","description":"Surgery, Intracranial Arteriovenous Malformation; Infratentorial, Simple","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4449.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Ribs, Bilat; W/Posteroanterior Chest, 4+ Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71111","description":"Radiologic Exam, Ribs, Bilat; W/Posteroanterior Chest, 4+ Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":24.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":72.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc dx nsclc stg3B-4 metasta","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9066","description":"Onc dx nsclc stg3B-4 metasta","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5BGK4","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Craniectomy/Craniotomy; W/Excision, Fb, Brain","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61570","description":"Craniectomy/Craniotomy; W/Excision, Fb, Brain","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2860.94,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":2860.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insulin; Total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83525","description":"Insulin; Total","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":12.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Physical therapy eval:mod complexity,requiring: hx of present problem impacts plan; exam of body system; clinical pres with changing characteristics; clinical decision making","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97162","description":"Physical therapy eval:mod complexity,requiring: hx of present problem impacts plan; exam of body system; clinical pres with changing characteristics; clinical decision making","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":121.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nasal Prosthesis, Replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5926","description":"Nasal Prosthesis, Replacement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2610.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AFMX","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lunate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8627","description":"Lunate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7973.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":7973.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excursion Amplifier Pulley T","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6641","description":"Excursion Amplifier Pulley T","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":201.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":163.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Tenolysis, Flexor/Extensor Tendon, Leg &/Or Ankle; Multiple Tendons","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27681","description":"Tenolysis, Flexor/Extensor Tendon, Leg &/Or Ankle; Multiple Tendons","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":832.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ko Single Upright Custom Fit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1843","description":"Ko Single Upright Custom Fit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1030.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":837.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CGMV","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5AHKX","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage, Perirenal/Renal Abscess; Open","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50020","description":"Drainage, Perirenal/Renal Abscess; Open","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1553.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vertebral Corpectomy, 1 Segment; Extradural, Lumbar/Sacral, Transperitoneal/Retroperitoneal Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63303","description":"Vertebral Corpectomy, 1 Segment; Extradural, Lumbar/Sacral, Transperitoneal/Retroperitoneal Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3499.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"oncology (thyroid), gene expression analysis of 142 genes, utilizing fine needle aspirate, algorithm reported as a categorical result","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81545","description":"oncology (thyroid), gene expression analysis of 142 genes, utilizing fine needle aspirate, algorithm reported as a categorical result","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reconstruction, Dislocating Patella","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27420","description":"Reconstruction, Dislocating Patella","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1130.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transplant, Hamstring Tendon To Patella; Multiple Tendons","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27397","description":"Transplant, Hamstring Tendon To Patella; Multiple Tendons","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1378.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Kidney Function Study, Non-Imaging Radioisotopic Study","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78725","description":"Kidney Function Study, Non-Imaging Radioisotopic Study","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":137.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":164.83,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":27.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious agent detection by DNA and RNA, surgical wound pathogens, 34 microorganisms and identification of 21 associated antibiotic-resistance genes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0370U","description":"Infectious agent detection by DNA and RNA, surgical wound pathogens, 34 microorganisms and identification of 21 associated antibiotic-resistance genes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":416.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - Other - High, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AC31","description":"Late - Institutional, MMTA - Other - High, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient did not receive at least one well-child visit with PCP during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9965","description":"Patient did not receive at least one well-child visit with PCP during the performance period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lutetium lu 177, dotatate, therapeutic, 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9513","description":"Lutetium lu 177, dotatate, therapeutic, 1 millicurie","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":334.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":334.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"External bleaching for home application, per arch","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9975","description":"External bleaching for home application, per arch","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":165.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ACApatch, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4325","description":"ACApatch, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2045.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blepharoplasty, Lower Eyelid; W/Extensive Herniated Fat Pad","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15821","description":"Blepharoplasty, Lower Eyelid; W/Extensive Herniated Fat Pad","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":912.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interpret  & report diagnostic image","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0391","description":"Interpret  & report diagnostic image","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":351.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Nasal Fx; Uncomplicated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21325","description":"Open Treatment, Nasal Fx; Uncomplicated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":719.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Neuroma; Digital Nerve, Add'l Digit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64778","description":"Excision, Neuroma; Digital Nerve, Add'l Digit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":216.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression glove, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6581","description":"Gradient compression glove, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lens Sphcyl Bifo 7.25-12/2.2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2212","description":"Lens Sphcyl Bifo 7.25-12/2.2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":101.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiation Treatment Management, Stereotactic, Cerebral Lesion(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77432","description":"Radiation Treatment Management, Stereotactic, Cerebral Lesion(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":629.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97763","description":"Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":96.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nebulizer Water Collec Devic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7012","description":"Nebulizer Water Collec Devic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Sinus, Valsalva Fistula, W/Cardiopulmonary Bypass; W/Repair, Ventricular Septal Defect","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33710","description":"Repair Sinus, Valsalva Fistula, W/Cardiopulmonary Bypass; W/Repair, Ventricular Septal Defect","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3172.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reconstruction, Angular Deformity, Toe, Soft Tissue Proc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28313","description":"Reconstruction, Angular Deformity, Toe, Soft Tissue Proc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":806.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Allograft, Cymetra, injectable, 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4112","description":"Allograft, Cymetra, injectable, 1 cc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":872.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multiple Step; Hepatitis B Surface Antigen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87340","description":"Enzyme Immunoassay (Eia) Qualitative/Semiquantitative, Multiple Step; Hepatitis B Surface Antigen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":11.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, eptinezumab-jjmr, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3032","description":"Injection, eptinezumab-jjmr, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHN5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Paravertebral block, thoracic; second and any addtl injection site(s), (inc imaging guidance, when performed)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64462","description":"Paravertebral block, thoracic; second and any addtl injection site(s), (inc imaging guidance, when performed)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drug metab or processing (multiple conditions), whole blood or buccal spec, DNA anys 27 gene report, w/variant anys Incl reported phenotypes and impacted gene-drug intrctns","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0349U","description":"Drug metab or processing (multiple conditions), whole blood or buccal spec, DNA anys 27 gene report, w/variant anys Incl reported phenotypes and impacted gene-drug intrctns","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":816.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90656","description":"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions, including interpretation and report;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92548","description":"Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions, including interpretation and report;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":148.93,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":109.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27137","description":"Revision, Total Hip Arthroplasty; Acetabular Component Only, W/Wo Autograft/Allograft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2253.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, W/Other Than Vein; Ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35663","description":"Bypass Graft, W/Other Than Vein; Ilioiliac","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1944.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BGKT","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Molecular pathology interpr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0452","description":"Molecular pathology interpr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":93.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":27.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Cerv Collar Supp Adj Cerv Ba","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0190","description":"Cerv Collar Supp Adj Cerv Ba","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":651.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":529.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Gastric Restrictve Procedre, W/Gastric Bypass, Morbd Obsty; W/Short Limb Roux-En-Y Gastroenterostmy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43846","description":"Gastric Restrictve Procedre, W/Gastric Bypass, Morbd Obsty; W/Short Limb Roux-En-Y Gastroenterostmy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2486.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Graft; Ear Cartilage, Autogenous, Nose/Ear (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21235","description":"Graft; Ear Cartilage, Autogenous, Nose/Ear (Includes Obtaining Graft)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1099.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHLT","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, argatroban (AuroMedics), not therapeutically equivalent to J0883, 1 mg (for non-ESRD use)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0898","description":"Injection, argatroban (AuroMedics), not therapeutically equivalent to J0883, 1 mg (for non-ESRD use)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CFNS","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pneumoc Imm Order/Admin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4040F","description":"Pneumoc Imm Order/Admin","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880","description":"Infectious Agent, Immunoassay, Direct Observation; Strepococcus Group A","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":18.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroplasty, Knee, Hinge Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27445","description":"Arthroplasty, Knee, Hinge Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1913.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical, with Total Hysterectomy, for Uterus 250g or Less; with Removal of Tube(s) and/or Ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58571","description":"Laparoscopy, Surgical, with Total Hysterectomy, for Uterus 250g or Less; with Removal of Tube(s) and/or Ovary(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1358.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ocular Implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8610","description":"Ocular Implant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":777.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flex/ext/rotation wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6624","description":"Flex/ext/rotation wrist unit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4333.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90673","description":"Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":83.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, group 24 non-sealed lead acid battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2362","description":"Power wheelchair accessory, group 24 non-sealed lead acid battery, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":123.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":12.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":123.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cytopathology, Smears, Other Source; Extended Study, > 5 Slides &/Or Multiple Stains","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88162","description":"Cytopathology, Smears, Other Source; Extended Study, > 5 Slides &/Or Multiple Stains","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":89.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":60.42,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":149.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO, Triplanar Control, One Piece Rigid Plastic Shell Wo Interface Li","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0480","description":"TLSO, Triplanar Control, One Piece Rigid Plastic Shell Wo Interface Li","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1831.09,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1488.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Suture Repair, Aorta/Great Vessels; W/Shunt Bypass","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33321","description":"Suture Repair, Aorta/Great Vessels; W/Shunt Bypass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1829.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology tx response to radiation, chemotherapy, or other systematic cancer treatments, cell-free DNA, quantitative branched chain DNA amplification, plasma, reported in ng/mL","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0285U","description":"Oncology tx response to radiation, chemotherapy, or other systematic cancer treatments, cell-free DNA, quantitative branched chain DNA amplification, plasma, reported in ng/mL","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":487.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of Peripherally Inserted Central Venous Catheter (Picc), wo Subcutaneous Port or Pump; Age 5 Years or Older","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36569","description":"Insertion of Peripherally Inserted Central Venous Catheter (Picc), wo Subcutaneous Port or Pump; Age 5 Years or Older","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":376.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":376.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy .","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9781","description":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy .","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transmyocardial Laser Revascularization, By Thoracotomy; Performed W/Other Open Cardiac Proc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33141","description":"Transmyocardial Laser Revascularization, By Thoracotomy; Performed W/Other Open Cardiac Proc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":202.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crown - Resin With Predominantly Base Metal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2721","description":"Crown - Resin With Predominantly Base Metal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":635.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, Carpometacarpal Joint, Thumb, W/Wo Int Fixation; W/Autograft (Inc Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26842","description":"Arthrodesis, Carpometacarpal Joint, Thumb, W/Wo Int Fixation; W/Autograft (Inc Obtaining Graft)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1172.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Artificial larynx replacement battery/accessory, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8505","description":"Artificial larynx replacement battery/accessory, any type","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":256.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Speech volume modulation system, any type, including all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E3000","description":"Speech volume modulation system, any type, including all components and accessories","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3701.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"MDD, Mild","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3088F","description":"MDD, Mild","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mandible - Closed Reduction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7740","description":"Mandible - Closed Reduction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2510.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgery, Intracranial Aneurysm, Complex, Intracranial Approach; Carotid Circulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61697","description":"Surgery, Intracranial Aneurysm, Complex, Intracranial Approach; Carotid Circulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6567.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0184T","description":"Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":748.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31296","description":"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3098.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Partial Laryngectomy (Hemilaryngectomy); Antero-Latero-Vertical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31382","description":"Partial Laryngectomy (Hemilaryngectomy); Antero-Latero-Vertical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3279.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Collection, Capillary Blood Specimen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36416","description":"Collection, Capillary Blood Specimen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8542","description":"Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified, care plan not required","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electrophys Eval, Insert Cath, W/Arrythmia Induction; W/Lt Vent Pace/Record","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93622","description":"Electrophys Eval, Insert Cath, W/Arrythmia Induction; W/Lt Vent Pace/Record","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":265.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":97.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":400.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter Bx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37200","description":"Transcatheter Bx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":337.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prostate Ca Screening; Dre","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0102","description":"Prostate Ca Screening; Dre","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Telhealth inpt consult 15min","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0406","description":"Telhealth inpt consult 15min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81307","description":"PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) gene analysis; full gene sequence","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":744.15,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":744.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Door to puncture time of 90 minutes or less","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9580","description":"Door to puncture time of 90 minutes or less","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Referral to a physician for an otologic evaluation not performed, reason not specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8858","description":"Referral to a physician for an otologic evaluation not performed, reason not specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, Behavioral Health - High, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2FC31","description":"Early - Institutional, Behavioral Health - High, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"pediatric patient with minor blunt head trauma not classified as low risk according to the PECARN prediction rules","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9597","description":"pediatric patient with minor blunt head trauma not classified as low risk according to the PECARN prediction rules","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chloride; Urine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82436","description":"Chloride; Urine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":6.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43192","description":"Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":260.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"3D-CRT or intensity modul rad thxpy recvÆd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4165F","description":"3D-CRT or intensity modul rad thxpy recvÆd","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection of Tumor (eg, Malignant Neoplasm), Soft Tissue of Thigh or Knee Area; 5 cm or greater","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27364","description":"Radical Resection of Tumor (eg, Malignant Neoplasm), Soft Tissue of Thigh or Knee Area; 5 cm or greater","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2386.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pwr adpt pneum vad, rep veh","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0504","description":"Pwr adpt pneum vad, rep veh","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":789.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient exhibits 2 or more risk factors for postoperative vomiting","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9954","description":"Patient exhibits 2 or more risk factors for postoperative vomiting","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction, Anal Lesion(S), Simple; Laser Surgery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46917","description":"Destruction, Anal Lesion(S), Simple; Laser Surgery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":686.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dest Malig Les Trunk Ext to 0.5 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17260","description":"Dest Malig Les Trunk Ext to 0.5 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":142.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81190","description":"CSTB (cystatin B) (eg, Unverricht-Lundborg disease) gene analysis; known familial variant(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":203.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":203.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology, image analysis of at least 128 histologic features and clinical factors, includes predictive algorithm to androgen deprivation-therapy response, if appropriate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0376U","description":"Oncology, image analysis of at least 128 histologic features and clinical factors, includes predictive algorithm to androgen deprivation-therapy response, if appropriate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":776.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Orbital Implant (Outside Muscle Cone); Removal/Revision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67560","description":"Orbital Implant (Outside Muscle Cone); Removal/Revision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1482.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67141","description":"Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":785.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bladder Irrigation, Simple, Lavage &/Or Instillation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51700","description":"Bladder Irrigation, Simple, Lavage &/Or Instillation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":109.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urethrectomy, Total, W/Cystostomy; Male","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53215","description":"Urethrectomy, Total, W/Cystostomy; Male","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1421.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision or removal of carotid sinus baroreflex activation device; lead only, unilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0270T","description":"Revision or removal of carotid sinus baroreflex activation device; lead only, unilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":288.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electroretinography (ERG) with interpretation and report, pattern (PERG)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0509T","description":"Electroretinography (ERG) with interpretation and report, pattern (PERG)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":139.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Colonoscopy Through Stoma; W/Bx, Single/Multiple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44389","description":"Colonoscopy Through Stoma; W/Bx, Single/Multiple","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":570.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Adv PCCM svs for a pt w/one chronic condition/fewer, prov by clinical staff/directed by a phys/QHP, resp for PC & serves as cont focal point for all healthcare svs, per cal mo","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0556","description":"Adv PCCM svs for a pt w/one chronic condition/fewer, prov by clinical staff/directed by a phys/QHP, resp for PC & serves as cont focal point for all healthcare svs, per cal mo","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dressing set for negative pressure wound therapy electrical pump, stationary or portable, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6550","description":"Dressing set for negative pressure wound therapy electrical pump, stationary or portable, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":30.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Spec Seat Depth/W","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1298","description":"Wheelchair Spec Seat Depth/W","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":491.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":491.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Counseling, individual, by chaplain services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9002","description":"Counseling, individual, by chaplain services","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Abduction Bar Jointed Adjust","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2300","description":"Abduction Bar Jointed Adjust","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":369.32,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":300.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Clinically significant depressive symptoms as categorized by using a standardized depression screening/assessment tool (","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3354F","description":"Clinically significant depressive symptoms as categorized by using a standardized depression screening/assessment tool (","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immediate maxillary partial denture – resin base (including retentive clasping mat, rests and teeth)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5221","description":"Immediate maxillary partial denture – resin base (including retentive clasping mat, rests and teeth)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":888.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interphalangeal finger joint replacement, 2 or more pieces, metal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8659","description":"Interphalangeal finger joint replacement, 2 or more pieces, metal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2220.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fresnell Prism Press-On Lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2718","description":"Fresnell Prism Press-On Lens","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"repair of custom sleep apnea appliance","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9949","description":"repair of custom sleep apnea appliance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual scores for lumbar impairment not measured, patient didnt complete FOTO's status survey near discharge, patient not appropriate","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8661","description":"Risk-adjusted functional status change residual scores for lumbar impairment not measured, patient didnt complete FOTO's status survey near discharge, patient not appropriate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Relese, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4257","description":"Relese, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":528.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Specimen biopsy site other than anatomic location of primary tumor (eg, liver biopsy, lymph node biopsy)* (PATH)1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3250F","description":"Specimen biopsy site other than anatomic location of primary tumor (eg, liver biopsy, lymph node biopsy)* (PATH)1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Checkout for orthotic/prosthetic use, established patient, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97762","description":"Checkout for orthotic/prosthetic use, established patient, each 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Lesion/Tumor (Except Listed Above), Dentoalveolar Structures; W/O Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"41825","description":"Excision, Lesion/Tumor (Except Listed Above), Dentoalveolar Structures; W/O Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":325.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGNW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Soft Interface Below Knee Se","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2820","description":"Soft Interface Below Knee Se","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.54,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":77.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Tumor, Soft Tissue, Upper Arm/Elbow Area; Subq","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24075","description":"Excision, Tumor, Soft Tissue, Upper Arm/Elbow Area; Subq","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":742.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 3, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5CFKX","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 3, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Mullerian Duct Cyst","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55680","description":"Excision, Mullerian Duct Cyst","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":557.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Swivel adaptor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S8186","description":"Swivel adaptor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.53,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":9.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Injection Proc, Peyronie Disease","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54200","description":"Injection Proc, Peyronie Disease","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":162.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient did not receive brief counseling if identified as an unhealthy alcohol user","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2202","description":"Patient did not receive brief counseling if identified as an unhealthy alcohol user","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Craniofacial Approach To Anterior Cranial Fossa; Extradural, W/O Orbital Exenteration","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61580","description":"Craniofacial Approach To Anterior Cranial Fossa; Extradural, W/O Orbital Exenteration","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3785.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ko W/ Adj Flex/Ext Rotat, Prefabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1845","description":"Ko W/ Adj Flex/Ext Rotat, Prefabricated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":933.89,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":759.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Resect/Excise, Lesion, Base, Anterior Cranial Fossa; Extradural","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61600","description":"Resect/Excise, Lesion, Base, Anterior Cranial Fossa; Extradural","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3255.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crown Repair, By Report","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2980","description":"Crown Repair, By Report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":173.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Speech Screening","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V5362","description":"Speech Screening","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":86.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Mucosa & Submucosa, Vestibule, Mouth; W/Simple Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40812","description":"Excision, Lesion, Mucosa & Submucosa, Vestibule, Mouth; W/Simple Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":444.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":444.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transfer, Finger To Another Position W/O Microvascular Anastomosis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26555","description":"Transfer, Finger To Another Position W/O Microvascular Anastomosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1931.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection including indwelling catheter placement, continuous infusion or intermittent bolus of diagnostic or therapeutic sub, cervical or thoracic; without imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62324","description":"Injection including indwelling catheter placement, continuous infusion or intermittent bolus of diagnostic or therapeutic sub, cervical or thoracic; without imaging guidance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":219.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiovascular Function Eval W/Tilt Table/Continuous Ecg Monitor/Intermittent Bp Monitor","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93660","description":"Cardiovascular Function Eval W/Tilt Table/Continuous Ecg Monitor/Intermittent Bp Monitor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":237.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":142.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis; Subtalar","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28725","description":"Arthrodesis; Subtalar","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1186.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Brca1 Gene Analysis; Full Sequence Analysis And Common Duplication/Deletion Variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81214","description":"Brca1 Gene Analysis; Full Sequence Analysis And Common Duplication/Deletion Variants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision & Drainage, Deep Abscess, Bursa/Hematoma, Thigh/Knee Region","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27301","description":"Incision & Drainage, Deep Abscess, Bursa/Hematoma, Thigh/Knee Region","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1017.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Iridotomy, Stab Incision (Sep Proc); Except Transfixion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66500","description":"Iridotomy, Stab Incision (Sep Proc); Except Transfixion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":531.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Myocardial Imaging, Infarct Avid, Planar; Tomographic Spect W/Wo Quantification","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78469","description":"Myocardial Imaging, Infarct Avid, Planar; Tomographic Spect W/Wo Quantification","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":283.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":67.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":351.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"patients who had a follow-up evaluation conducted at least every 3 months during opioid therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9562","description":"patients who had a follow-up evaluation conducted at least every 3 months during opioid therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Anterior Chamber, Eye (Sep Proc); Medication","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66030","description":"Injection, Anterior Chamber, Eye (Sep Proc); Medication","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":248.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, diltiazem HCl, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1163","description":"Injection, diltiazem HCl, 0.5 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transfer Iliopsoas; To Greater Trochanter, Femur","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27110","description":"Transfer Iliopsoas; To Greater Trochanter, Femur","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1478.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Statin medication prescribed at discharge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8816","description":"Statin medication prescribed at discharge","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Brief communication technology-based svc by a physician or other qualified health care professional who can report eval and management services, provided to an estab patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2252","description":"Brief communication technology-based svc by a physician or other qualified health care professional who can report eval and management services, provided to an estab patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Comparative Analysis Using Short Tandem Repeat (Str) Markers; Patient And Comparative Specimen","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81265","description":"Comparative Analysis Using Short Tandem Repeat (Str) Markers; Patient And Comparative Specimen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":256.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":256.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"ABO and Rh blood typing documented as performed (Pre-Cr)7","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3293F","description":"ABO and Rh blood typing documented as performed (Pre-Cr)7","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93784","description":"Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":80.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter Therapy, Embolization, Any Method, Radiological S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75894","description":"Transcatheter Therapy, Embolization, Any Method, Radiological S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.96,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":102.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":84.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hereditary ovarian cancer–related disorders, targeted mRNA sequence analysis panel (17 genes) (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0132U","description":"Hereditary ovarian cancer–related disorders, targeted mRNA sequence analysis panel (17 genes) (List separately in addition to code for primary procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":815.8,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":815.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rheumatoid Factor; Qualitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86430","description":"Rheumatoid Factor; Qualitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":6.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFLW","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74240","description":"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":168.54,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":52.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":116.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Injection Proc, Extremity, Venography, W/Intro Needle/Catheter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36005","description":"Injection Proc, Extremity, Venography, W/Intro Needle/Catheter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":484.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amputation, Leg, Through Tibia & Fibula; W/Immediate Fitting W/1st Cast","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27881","description":"Amputation, Leg, Through Tibia & Fibula; W/Immediate Fitting W/1st Cast","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1329.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteopathic Manipulative Treatment (Omt); 3-4 Body Regions Involved","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98926","description":"Osteopathic Manipulative Treatment (Omt); 3-4 Body Regions Involved","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":68.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"antibiotic regimen prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9498","description":"antibiotic regimen prescribed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intensive outpatient services, weekly bundle, minimum of 9 services over a 7 contiguous day period, which can include:","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0137","description":"Intensive outpatient services, weekly bundle, minimum of 9 services over a 7 contiguous day period, which can include:","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGLV","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemi-Wheelchair Detachable A","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1084","description":"Hemi-Wheelchair Detachable A","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":113.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":2114.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2114.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Mandibular Fx W/Interdental Fixation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21453","description":"Closed Treatment, Mandibular Fx W/Interdental Fixation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1390.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Tibial Fx, Proximal; W/O Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27530","description":"Closed Treatment, Tibial Fx, Proximal; W/O Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":455.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Teeth; Partial Exam, < Full Mouth","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70310","description":"Radiologic Exam, Teeth; Partial Exam, < Full Mouth","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.06,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":41.87,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Potassium Hydroxide Preps","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0112","description":"Potassium Hydroxide Preps","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrotomy, Elbow; W/Joint Exploration, W/Wo Bx, W/Wo Removal Loose/Fb","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24101","description":"Arthrotomy, Elbow; W/Joint Exploration, W/Wo Bx, W/Wo Removal Loose/Fb","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":756.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"SAV for theE&M of a new patient, which requires a medically appropriate history and/or examination, moderate medical decision making, and 10 min+ of medical discussion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98010","description":"SAV for theE&M of a new patient, which requires a medically appropriate history and/or examination, moderate medical decision making, and 10 min+ of medical discussion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":239.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home infusion therapy, chelation therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9355","description":"Home infusion therapy, chelation therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":119.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thawing of Cryopreserved; Sperm/Semen, Each Aliquot","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89353","description":"Thawing of Cryopreserved; Sperm/Semen, Each Aliquot","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - GI/GU - Medium, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2JB11","description":"Early - Institutional, MMTA - GI/GU - Medium, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Polarization, any lens material, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2762","description":"Polarization, any lens material, per lens","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology/Hematology MIPS specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G4019","description":"Oncology/Hematology MIPS specialty set","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Retreatment Of Previous Root Canal Therapy - Anterior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D3346","description":"Retreatment Of Previous Root Canal Therapy - Anterior","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":555.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urography, infusion, drip technique and/or bolus technique;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74410","description":"Urography, infusion, drip technique and/or bolus technique;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":162.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":125.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Colon Ca Screen;Barium Enema","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0106","description":"Colon Ca Screen;Barium Enema","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":243.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":73.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":317.47,"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":"0216T","description":"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":161.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dilation, Female Urethra W/Suppository &/Or Instillation; Initial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53660","description":"Dilation, Female Urethra W/Suppository &/Or Instillation; Initial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"patient required a return to the operating room within 90 days of surgery","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9514","description":"patient required a return to the operating room within 90 days of surgery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHL3","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oxygen saturation results documented and reviewed (CAP, COPD)1 (EM)5","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3028F","description":"Oxygen saturation results documented and reviewed (CAP, COPD)1 (EM)5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Arterial, Occlusion, Arteriovenous Malformation, Spinal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62294","description":"Injection, Arterial, Occlusion, Arteriovenous Malformation, Spinal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1476.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pt inelig for antidepres med","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8128","description":"Pt inelig for antidepres med","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95803","description":"Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":65.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":145.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":65.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":210.94,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":210.94,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":145.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5520","description":"Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":199.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Recipient Nephrectomy (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50340","description":"Recipient Nephrectomy (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1449.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33902","description":"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, unilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1330.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9315","description":"Amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31573","description":"Laryngoscopy, flexible; with therapeutic injection(s) (eg, chemodenervation agent or corticosteroid, injected percutaneous, transoral, or via endoscope channel), unilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":399.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients 66-80 years of age 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":"G2132","description":"Patients 66-80 years of age with at least one claim/encounter for frailty and a dispensed medication for dementia during the measurement period or the year prior","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CoreText or ProText, per cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4246","description":"CoreText or ProText, per cc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc dx brst unknown NOS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9131","description":"Onc dx brst unknown NOS","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGKU","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHP1","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Phosphatase, Acid; Total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84060","description":"Phosphatase, Acid; Total","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":8.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MS Rehab - High, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4EC21","description":"Late - Institutional, MS Rehab - High, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CGK3","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGPT","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"All quality actions for the applicable measures in the dementia measures group have been performed for this patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8761","description":"All quality actions for the applicable measures in the dementia measures group have been performed for this patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urethrorrhaphy, Suture, Urethral Wound/Injury; Perineal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53510","description":"Urethrorrhaphy, Suture, Urethral Wound/Injury; Perineal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":965.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25440","description":"Repair, Nonunion, Scaphoid Carpal Bone, W/Wo Radial Styloidectomy (Inc Obtain Graft & Fix)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1170.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior interbody, include disc space prep, discectomy, osteophytectomy and decompression of spinal cord and/or nerve root; cervical below C2, ea add interspace","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22552","description":"Arthrodesis, anterior interbody, include disc space prep, discectomy, osteophytectomy and decompression of spinal cord and/or nerve root; cervical below C2, ea add interspace","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":619.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":619.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oral aspirin or other anticoagulant/antiplatelet therapy was not prescribed, reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8897","description":"Oral aspirin or other anticoagulant/antiplatelet therapy was not prescribed, reason not otherwise specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lamellas, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4292","description":"Lamellas, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Caregiver training in direct care strategies & techniques to support care for pts w/ an ongoing condition/illness & to reduce complications, face-to-face; initial 30 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0541","description":"Caregiver training in direct care strategies & techniques to support care for pts w/ an ongoing condition/illness & to reduce complications, face-to-face; initial 30 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":103.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flurpiridaz F-18, diagnostic, 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9611","description":"Flurpiridaz F-18, diagnostic, 1 mCi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":570.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Initial or subsequent psych collaborative care management, first 30 min in a month of behavioral health care manager activities, in consultation with a psych consultant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2214","description":"Initial or subsequent psych collaborative care management, first 30 min in a month of behavioral health care manager activities, in consultation with a psych consultant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":105.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31051","description":"Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":969.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":969.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian or Epigastric Hernia; Incarcerated or Strangulated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49653","description":"Laparoscopy, Surgical, Repair, Ventral, Umbilical, Spigelian or Epigastric Hernia; Incarcerated or Strangulated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1422.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Carotene","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82380","description":"Carotene","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":10.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CGLT","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients 66-80 years of age with 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":"G2117","description":"Patients 66-80 years of age with at least one claim/encounter for frailty and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medication assisted treatment, buprenorphine (implant); weekly bundle incl dispensing and/or admin, substance use counseling, individual/group therapy, toxicology testing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2070","description":"Medication assisted treatment, buprenorphine (implant); weekly bundle incl dispensing and/or admin, substance use counseling, individual/group therapy, toxicology testing","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BGM4","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cranial cervical orthosis, congenital torticollis type, with or without soft material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0112","description":"Cranial cervical orthosis, congenital torticollis type, with or without soft material","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1607.36,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1306.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Echography, Scrotum & Contents","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76870","description":"Echography, Scrotum & Contents","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":102.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":48.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Reline Maxillary Partial Denture (Laboratory)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5760","description":"Reline Maxillary Partial Denture (Laboratory)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":416.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"patients with a normal neurological examination","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9535","description":"patients with a normal neurological examination","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99602","description":"Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":76.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma wasn't sent from pathologist to biopsying clinician for review within 7 days","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9786","description":"Pathology report diagnosing cutaneous basal cell carcinoma, squamous cell carcinoma, or melanoma wasn't sent from pathologist to biopsying clinician for review within 7 days","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"External urinary cath; non-disp suct pump per mo","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6591","description":"External urinary cath; non-disp suct pump per mo","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":86.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endo Knee-Shin Fluid Swg/Sta","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5828","description":"Endo Knee-Shin Fluid Swg/Sta","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3309.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sdsd: small meals title xx in-home servi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"OF111","description":"Sdsd: small meals title xx in-home servi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Sacral Pressure Ulcer, W/Skin Flap Closure;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15934","description":"Excision, Sacral Pressure Ulcer, W/Skin Flap Closure;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1419.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dermacyte Amniotic Membrane Allograft, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4248","description":"Dermacyte Amniotic Membrane Allograft, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1106.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Monitoring, Id & Lateralization, Cerebral Seizure Focus, Eeg & Interpretation, Each 24 Hours","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95950","description":"Monitoring, Id & Lateralization, Cerebral Seizure Focus, Eeg & Interpretation, Each 24 Hours","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":499.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interpelviabdominal Amputation (Hindquarter Amputation)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27290","description":"Interpelviabdominal Amputation (Hindquarter Amputation)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2459.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82271","description":"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Self-Help/Peer Services, Per 15 Minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0038","description":"Self-Help/Peer Services, Per 15 Minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":37.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"fee schedule","negotiated_rate":37.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HQ"},{"negotiated_type":"fee schedule","negotiated_rate":37.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"fee schedule","negotiated_rate":37.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HB"},{"negotiated_type":"fee schedule","negotiated_rate":37.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter placement of intravascular stent, central dialysis segment, performed through dialysis circuit, include all imaging radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36908","description":"Transcatheter placement of intravascular stent, central dialysis segment, performed through dialysis circuit, include all imaging radiological supervision and interpretation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4019.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"LDR prostate brachy comp rat","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0458","description":"LDR prostate brachy comp rat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electromyography Studies, Anal/Urethral Sphincter, Other Than Needle, Any Technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51784","description":"Electromyography Studies, Anal/Urethral Sphincter, Other Than Needle, Any Technique","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":57.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":47.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":104.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients 66+ with a frailty claim and advanced illness diagnosis during or before the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2091","description":"Patients 66+ with a frailty claim and advanced illness diagnosis during or before the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Autologous Chondrocyte Implantation, Knee","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27412","description":"Autologous Chondrocyte Implantation, Knee","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2527.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tenotomy, Open, Hamstring, Knee To Hip; Multiple Tendons, Bilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27392","description":"Tenotomy, Open, Hamstring, Knee To Hip; Multiple Tendons, Bilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1065.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BHL6","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Whchr H-Duty Det Arm Leg Res","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1280","description":"Whchr H-Duty Det Arm Leg Res","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":179.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":2828.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2828.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fibrinolytic Factors & Inhibitors; Plasminogen Activator","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85415","description":"Fibrinolytic Factors & Inhibitors; Plasminogen Activator","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Mometasone furoate sinus implant, (sinuva), 10 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7402","description":"Mometasone furoate sinus implant, (sinuva), 10 micrograms","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Non ER Transport Wheelch Van","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0130","description":"Non ER Transport Wheelch Van","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bedside Drain Btl W/Wo Tube","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5102","description":"Bedside Drain Btl W/Wo Tube","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.56,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":25.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Repl Bat T.E.N.S. Own By Pt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4630","description":"Repl Bat T.E.N.S. Own By Pt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Decompression Fasciotomy, Forearm, W/Brachial Artery Exploration","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24495","description":"Decompression Fasciotomy, Forearm, W/Brachial Artery Exploration","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":810.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Strapping; Ankle &/Or Foot","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29540","description":"Strapping; Ankle &/Or Foot","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BHP6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Major depressive disorder, mild (MDD)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3088F","description":"Major depressive disorder, mild (MDD)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFNU","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer For Case Metal Fpd","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6077","description":"Implant Supported Retainer For Case Metal Fpd","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":918.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Impreg Gauze No H20/Sal/Yard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6266","description":"Impreg Gauze No H20/Sal/Yard","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Insulin Antibodies","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86337","description":"Insulin Antibodies","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":23.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Shoulder; 1 View","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73020","description":"Radiologic Exam, Shoulder; 1 View","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":22.26,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Pet Following Rest Ecg Mult","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0045","description":"Pet Following Rest Ecg Mult","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Programming Device Eval W Adjustments of the Implantable Device W Phys Review; Multiple Lead Pacemaker System","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93281","description":"Programming Device Eval W Adjustments of the Implantable Device W Phys Review; Multiple Lead Pacemaker System","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":102.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":67.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Tunica Vaginalis Hydrocele (Bottle Type)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55060","description":"Repair, Tunica Vaginalis Hydrocele (Bottle Type)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":582.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BGMU","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Diskography, Each Level; Cervical/Thoracic","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62291","description":"Injection, Diskography, Each Level; Cervical/Thoracic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":498.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suction Pump Portab Hom Modl - With Rental Modifier (RR)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0600","description":"Suction Pump Portab Hom Modl - With Rental Modifier (RR)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":442.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":442.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":986.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":986.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":442.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":986.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Tissue cultured epidermal autograft, f/s/e/m/n/e/o/g/h/f/d; additional 1 sq cm to 75 sq cm (list sep)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15156","description":"Tissue cultured epidermal autograft, f/s/e/m/n/e/o/g/h/f/d; additional 1 sq cm to 75 sq cm (list sep)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":248.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiopulmonary Resuscitation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92950","description":"Cardiopulmonary Resuscitation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":456.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage, Subdiaphragmatic/Subphrenic Abscess; Open","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49040","description":"Drainage, Subdiaphragmatic/Subphrenic Abscess; Open","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1532.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pulmonary ventiliation (eg, aerosol or gas) and perfusion imaging","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78582","description":"Pulmonary ventiliation (eg, aerosol or gas) and perfusion imaging","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":518.87,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":438.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":80.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Galectin-3","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82777","description":"Galectin-3","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.68,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":48.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Endometrial Biopsy W/Wo Endocervical Biopsy, W/O Dilation, Any Method (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58100","description":"Endometrial Biopsy W/Wo Endocervical Biopsy, W/O Dilation, Any Method (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":164.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, alefacept, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0215","description":"Injection, alefacept, 0.5 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical Placement: Transosteal Implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6050","description":"Surgical Placement: Transosteal Implant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4000.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reconstruction Midface, Lefort Iii, (Extra/Intracranial), W/Bone Grafts, W/Lefort I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21160","description":"Reconstruction Midface, Lefort Iii, (Extra/Intracranial), W/Bone Grafts, W/Lefort I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4159.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Release, Intrinsic Muscles, Hand, Each Muscle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26593","description":"Release, Intrinsic Muscles, Hand, Each Muscle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":896.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical Boot Each Junior","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3211","description":"Surgical Boot Each Junior","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":47.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63197","description":"Laminectomy with cordotomy, with section of both spinothalamic tracts, 1 stage, thoracic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2168.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Conformal radiation therapy received","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4181F","description":"Conformal radiation therapy received","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bronchoscopy; With Bronchial Thermoplasty, 1 Lobe","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31660","description":"Bronchoscopy; With Bronchial Thermoplasty, 1 Lobe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":299.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Professional Svc, Supervision, Provision, Antigens, Allergen Immunotherapy; 4 Insect Venoms, Specify","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95148","description":"Professional Svc, Supervision, Provision, Antigens, Allergen Immunotherapy; 4 Insect Venoms, Specify","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":103.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":103.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ketamine and norketamine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80357","description":"Ketamine and norketamine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater than 50 neurofibromas","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0419T","description":"Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); face, head and neck, greater than 50 neurofibromas","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":433.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Afo Plastic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1930","description":"Afo Plastic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":247.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":303.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision/Repair, Eyelid; > One Quarter, Lid Margin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67966","description":"Excision/Repair, Eyelid; > One Quarter, Lid Margin","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1151.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - Surgical Aftercare - High, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2GC11","description":"Early - Institutional, MMTA - Surgical Aftercare - High, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy Pouch Solid Deodorant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4395","description":"Ostomy Pouch Solid Deodorant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":0.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rails Bed Side Half Length","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0305","description":"Rails Bed Side Half Length","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":219.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":144.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Treatment, Closed Elbow Dislocation; Requiring Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24605","description":"Treatment, Closed Elbow Dislocation; Requiring Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":711.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pet Follow Spect 78464 Singl","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0032","description":"Pet Follow Spect 78464 Singl","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electronic analysis with complex programming of implanted integrated neurostimulation system, spinal cord or sacral nerve, 4 or more parameters","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0789T","description":"Electronic analysis with complex programming of implanted integrated neurostimulation system, spinal cord or sacral nerve, 4 or more parameters","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":42.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Alginate Dressing <=16 Sq In","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6196","description":"Alginate Dressing <=16 Sq In","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Tumor, Soft Tissue of Thigh or Knee Area, Subfascial (eg, Intramuscular); 5 cm or greater","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27339","description":"Excision, Tumor, Soft Tissue of Thigh or Knee Area, Subfascial (eg, Intramuscular); 5 cm or greater","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1150.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracoscopy, Surgical; W/Pleurodesis (Mechanical/Chemical)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32650","description":"Thoracoscopy, Surgical; W/Pleurodesis (Mechanical/Chemical)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1019.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Glomerular filtration rate (GFR) measurement(s), transdermal, including sensor placement and administration of a single dose of fluorescent pyrazine agent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0602T","description":"Glomerular filtration rate (GFR) measurement(s), transdermal, including sensor placement and administration of a single dose of fluorescent pyrazine agent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":356.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatitis B Vaccine, Pediatric/Adolescent, (3-Dose Schedule), Im Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90744","description":"Hepatitis B Vaccine, Pediatric/Adolescent, (3-Dose Schedule), Im Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":30.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CFKX","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replc sockt shldr dis/interc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6885","description":"Replc sockt shldr dis/interc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4977.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiation delivery Level 3: multiple isocenters photon therapy (2D/3D/IMRT) or single-isocenter w/motion management, total skin electrons, or mixed fields; includes imaging","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77412","description":"Radiation delivery Level 3: multiple isocenters photon therapy (2D/3D/IMRT) or single-isocenter w/motion management, total skin electrons, or mixed fields; includes imaging","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":406.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemoglobin; Thermolabile","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83065","description":"Hemoglobin; Thermolabile","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":9.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BGKV","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pharm Agent Administration Including Assessing Hemodynamic Measurements Before, During, After And Repeat Agent Admin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93463","description":"Pharm Agent Administration Including Assessing Hemodynamic Measurements Before, During, After And Repeat Agent Admin","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":149.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Other physical or occupational therapy subsequent functional limitation, current status, at therapy episode outset and at reporting intervals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8993","description":"Other physical or occupational therapy subsequent functional limitation, current status, at therapy episode outset and at reporting intervals","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Strabismus Surgery, Recession/Resection Procedure; 1 Horizontal Muscle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67311","description":"Strabismus Surgery, Recession/Resection Procedure; 1 Horizontal Muscle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":897.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":897.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prep Ak Ischial Plast Molded","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5560","description":"Prep Ak Ischial Plast Molded","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2059.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2533.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Stationary Compressed Gas 02","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0424","description":"Stationary Compressed Gas 02","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":98.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Granisetron hydrochloride, 1 mg (for circumstances falling under the Medicare statute, use Q0166)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0091","description":"Granisetron hydrochloride, 1 mg (for circumstances falling under the Medicare statute, use Q0166)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":110.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electronic Analysis, Programmable Pump; W/O Reprogramming","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62367","description":"Electronic Analysis, Programmable Pump; W/O Reprogramming","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":62.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"AmnioPlast 1, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4334","description":"AmnioPlast 1, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Left ventricular ejection fraction (lvef) < 40% or documentation of severely or moderately depressed left ventricular systolic function","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8738","description":"Left ventricular ejection fraction (lvef) < 40% or documentation of severely or moderately depressed left ventricular systolic function","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vulvectomy Simple; Partial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"56620","description":"Vulvectomy Simple; Partial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":790.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood-Derived Hematopoietic Progenitor Cell Harvesting, Transplantation/Collection; Allogenic","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38205","description":"Blood-Derived Hematopoietic Progenitor Cell Harvesting, Transplantation/Collection; Allogenic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":127.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Above Elbow Switch Control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6950","description":"Above Elbow Switch Control","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12374.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Myelography, Posterior Fossa, Radiological S&I","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70010","description":"Myelography, Posterior Fossa, Radiological S&I","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":81.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":100.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":29.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, MMTA - Infectious - Medium, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3KB11","description":"Late - Community, MMTA - Infectious - Medium, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cisternal/Lateral (C1-C2) Cervical Puncture; W/O Injection (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61050","description":"Cisternal/Lateral (C1-C2) Cervical Puncture; W/O Injection (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":131.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, Wound - Medium, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CB31","description":"Late - Community, Wound - Medium, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Anterior Palate, W/Vomer Flap","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42235","description":"Repair, Anterior Palate, W/Vomer Flap","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1117.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sleep Study, Unattended, Simultaneous Recording; Minimum Of Heart Rate, Oxygen Saturation, And Respiratory Analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95801","description":"Sleep Study, Unattended, Simultaneous Recording; Minimum Of Heart Rate, Oxygen Saturation, And Respiratory Analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":62.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":136.21,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":74.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation rh-immunoglobulin (rhogam) was not ordered, reason not specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8811","description":"Documentation rh-immunoglobulin (rhogam) was not ordered, reason not specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Body Cast, Shoulder To Hips;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29035","description":"Application, Body Cast, Shoulder To Hips;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":387.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0960","description":"Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":9.26,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":92.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bioelectric impedance analysis whole body composition assessment, with interpretation and repot","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0358T","description":"Bioelectric impedance analysis whole body composition assessment, with interpretation and repot","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Calcium; Ionized","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82330","description":"Calcium; Ionized","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Transection/Avulsion; Vagus Nerve (Vagotomy), Abdominal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64760","description":"Transection/Avulsion; Vagus Nerve (Vagotomy), Abdominal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":757.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous Skeletal Fixation, Metatarsophalangeal Joint Dislocation, W/Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28636","description":"Percutaneous Skeletal Fixation, Metatarsophalangeal Joint Dislocation, W/Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":533.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Induced Abortion, Intra-Amniotic Injections W/Hospital Admissions, Visits, & Delivery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59850","description":"Induced Abortion, Intra-Amniotic Injections W/Hospital Admissions, Visits, & Delivery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":582.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BFKT","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Vaginectomy, Partial Removal, Vaginal Wall; W/Removal, Paravaginal Tissue (Radical Vaginectomy)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57107","description":"Vaginectomy, Partial Removal, Vaginal Wall; W/Removal, Paravaginal Tissue (Radical Vaginectomy)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2211.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interim Partial Denture (Maxillary)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5820","description":"Interim Partial Denture (Maxillary)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":521.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than o","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9395","description":"Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than o","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oocyte Identification, Follicular Fluid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89254","description":"Oocyte Identification, Follicular Fluid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, cefepime HCl (Baxter), not therapeutically equivalent to Maxipime, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0701","description":"Injection, cefepime HCl (Baxter), not therapeutically equivalent to Maxipime, 500 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High or very high risk recurrence of prostate cancer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8465","description":"High or very high risk recurrence of prostate cancer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie, ELISA)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0176U","description":"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie, ELISA)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":70.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pulp Cap - Indirect (Excluding Final Restoration)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D3120","description":"Pulp Cap - Indirect (Excluding Final Restoration)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes (List separately in addition to code for primary service)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96171","description":"Health behavior intervention, family (without the patient present), face-to-face; each additional 15 minutes (List separately in addition to code for primary service)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":53.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor), mass spectrometric 30 protein targets, formalin fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or un","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0174U","description":"Oncology (solid tumor), mass spectrometric 30 protein targets, formalin fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or un","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1435.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"B-amyloid and phospho tau, electrochemiluminescent immunoassay (ECLIA), cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0445U","description":"B-amyloid and phospho tau, electrochemiluminescent immunoassay (ECLIA), cerebral spinal fluid, ratio reported as positive or negative for amyloid pathology","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":286.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86235","description":"Extractable Nuclear Antigen, Antibody To, Any Method, Each Antibody","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":19.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66174","description":"Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1424.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AHNV","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious disease, path-specific nucleic acid (DNA/RNA), 22 targets including SARS-CoV-2, qualitative RT-PCR, nasopharyngeal swab, each path reported as detected/not deteted","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0202U","description":"Infectious disease, path-specific nucleic acid (DNA/RNA), 22 targets including SARS-CoV-2, qualitative RT-PCR, nasopharyngeal swab, each path reported as detected/not deteted","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":458.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pet Follow Ventriculogm Sing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0042","description":"Pet Follow Ventriculogm Sing","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Most recent diastolic blood pressure >= 90mmhg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8755","description":"Most recent diastolic blood pressure >= 90mmhg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MS Rehab - High, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2EC21","description":"Early - Institutional, MS Rehab - High, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64643","description":"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":140.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Conformal radiation therapy not received","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4182F","description":"Conformal radiation therapy not received","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient prescribed or dispensed antibiotic for documented medical reason(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8709","description":"Patient prescribed or dispensed antibiotic for documented medical reason(s)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"No documentation of pain assessment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8732","description":"No documentation of pain assessment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bronchoscopy, Rigid/Flexible; with computer-assited, image-guided navigation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31627","description":"Bronchoscopy, Rigid/Flexible; with computer-assited, image-guided navigation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2101.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":2101.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unknown","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4388","description":"Unknown","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Semen Analysis, Presence &/Or Motility Of Sperm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89321","description":"Semen Analysis, Presence &/Or Motility Of Sperm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.26,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracoplasty, Schede Type/Extrapleural (All Stages); W/Closure, Bronchopleural Fistula","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32906","description":"Thoracoplasty, Schede Type/Extrapleural (All Stages); W/Closure, Bronchopleural Fistula","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2541.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Colpotomy; W/Drainage, Pelvic Abscess","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57010","description":"Colpotomy; W/Drainage, Pelvic Abscess","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":655.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by a physician or qualified health care professional; initial 15 minutes of intraservice time, patient age 5 years or older","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99156","description":"Moderate sedation services provided by a physician or qualified health care professional; initial 15 minutes of intraservice time, patient age 5 years or older","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":113.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":113.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AFL4","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excise Benign Skin Lesion W/Marg, Except Skin Tag Scalp/Neck/Hands/Ft/Genital; Excise Diam >4.0cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11426","description":"Excise Benign Skin Lesion W/Marg, Except Skin Tag Scalp/Neck/Hands/Ft/Genital; Excise Diam >4.0cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":502.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0603","description":"Replacement battery for external infusion pump owned by patient, alkaline, 1.5 volt, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":0.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application of Stereotactic Headframe for Stereotactic Radiosurgery (List Sep)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61800","description":"Application of Stereotactic Headframe for Stereotactic Radiosurgery (List Sep)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":241.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shaving Skin Lesion, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane; Diameter 0.6-1.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11311","description":"Shaving Skin Lesion, Face/Ears/Eyelids/Nose/Lips/Mucous Membrane; Diameter 0.6-1.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":166.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ostomy Ring Each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4404","description":"Ostomy Ring Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suture, Tongue To Lip, Micrognathia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"41510","description":"Suture, Tongue To Lip, Micrognathia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":653.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CGL1","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Lymphocytic Choriomeningitis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86727","description":"Antibody; Lymphocytic Choriomeningitis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.16,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":14.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Cytopathology, Forensic","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88125","description":"Cytopathology, Forensic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":31.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":19.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":11.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Pms2 (Postmeiotic Segregation Increased 2 [S. Cerevisiae]) Gene Analysis; Known Familial Variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81318","description":"Pms2 (Postmeiotic Segregation Increased 2 [S. Cerevisiae]) Gene Analysis; Known Familial Variants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":364.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":364.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":86.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":69.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":69.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":86.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Decompression Fasciotomy, Thigh &/Or Knee, Multiple Compartments; W/Debridement, Muscle/Nerve","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27499","description":"Decompression Fasciotomy, Thigh &/Or Knee, Multiple Compartments; W/Debridement, Muscle/Nerve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1052.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Renal Exploration, Not Necessitating Other Specific Proc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50010","description":"Renal Exploration, Not Necessitating Other Specific Proc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1132.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, romidepsin, lyophilized, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9319","description":"Injection, romidepsin, lyophilized, 0.1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.77,"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, whole body, requiring 2 or more days imaging","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78804","description":"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s); planar, whole body, requiring 2 or more days imaging","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":78.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":799.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":877.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AHPX","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Excessive Skin & Subq Tissue (W/Lipectomy); Buttock","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15835","description":"Excision, Excessive Skin & Subq Tissue (W/Lipectomy); Buttock","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1390.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urography, infusion, drip technique and/or bolus technique; with nephrotomography","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74415","description":"Urography, infusion, drip technique and/or bolus technique; with nephrotomography","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":204.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":37.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":166.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Release, Extensive Scar Tissue W/O Detaching Extraocular Muscle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67343","description":"Release, Extensive Scar Tissue W/O Detaching Extraocular Muscle (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":982.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mastectomy, Partial (Eg, Lumpectomy, Tylectomy, Quadrantectomy, Segmentectomy); with Axillary Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"19302","description":"Mastectomy, Partial (Eg, Lumpectomy, Tylectomy, Quadrantectomy, Segmentectomy); with Axillary Lymphadenectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1372.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amphetamines; 1 or 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80324","description":"Amphetamines; 1 or 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteotomy; Talus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28302","description":"Osteotomy; Talus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1091.27,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision Mastoidectomy; Resulting In Complete Mastoidectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69601","description":"Revision Mastoidectomy; Resulting In Complete Mastoidectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1585.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cholecystectomy W/Exploration, Common Duct; W/Choledochoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47612","description":"Cholecystectomy W/Exploration, Common Duct; W/Choledochoenterostomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1945.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO, Flexible, Provides Trunk Support, Upper Thoracic Region, Produce","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0452","description":"TLSO, Flexible, Provides Trunk Support, Upper Thoracic Region, Produce","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":328.68,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":328.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Hospital bed, heavy duty, extra wide, with weight capacity 350-600 lbs w/rails w/mattress","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0303","description":"Hospital bed, heavy duty, extra wide, with weight capacity 350-600 lbs w/rails w/mattress","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2905.75,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3325.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":197.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Lens Sphcyl Bifocal Over 12.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2214","description":"Lens Sphcyl Bifocal Over 12.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":102.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp3 vhd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0860","description":"PWC gp3 vhd sing pow opt s/b","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10238.8,"expiration_date":"9999-12-31","billing_class":"institutional"},{"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":1773.57,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Carpometacarpal Fx/Dislocation, Thumb, W/Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26645","description":"Closed Treatment, Carpometacarpal Fx/Dislocation, Thumb, W/Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":643.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81525","description":"oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3427.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3427.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Impression & Custom Preparation; Orbital Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21077","description":"Impression & Custom Preparation; Orbital Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3838.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Everolimus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80169","description":"Everolimus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":15.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam, Chest; Stereo, Frontal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71015","description":"Radiologic Exam, Chest; Stereo, Frontal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":41.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Profundus Tendon Repair/Advance, W/Intact Superficialis Tend; Secondary W/O Free Graft, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26373","description":"Profundus Tendon Repair/Advance, W/Intact Superficialis Tend; Secondary W/O Free Graft, Each Tendon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1247.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy, Soft Tissue, Neck/Thorax","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21550","description":"Biopsy, Soft Tissue, Neck/Thorax","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":396.97,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":396.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Epicord, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4187","description":"Epicord, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":241.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BHKV","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Femoropopliteal/Aortoiliac Artery, Leg Incision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"34201","description":"Embolectomy/Thrombectomy; Femoropopliteal/Aortoiliac Artery, Leg Incision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1600.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemiepiphyseal Arrest","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24470","description":"Hemiepiphyseal Arrest","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1021.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical currettage","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57454","description":"Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical currettage","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":230.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":230.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopy, Shoulder, Surgical; Debridement, Limited","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29822","description":"Arthroscopy, Shoulder, Surgical; Debridement, Limited","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":863.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":863.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Myelography &/Or Ct Scan, Spinal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62284","description":"Injection, Myelography &/Or Ct Scan, Spinal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Frenuloplasty","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7963","description":"Frenuloplasty","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":396.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, W/Other Than Vein; Aortosubclavian/Carotid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35626","description":"Bypass Graft, W/Other Than Vein; Aortosubclavian/Carotid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2442.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gastrointestinal Transit And Pressure Measurement, Stomach Through Colon, Wireless Capsule, W Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91112","description":"Gastrointestinal Transit And Pressure Measurement, Stomach Through Colon, Wireless Capsule, W Interpretation And Report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1608.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1443.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":165.36,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Blood Vessel, Direct; Intrathoracic, W/Bypass","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35211","description":"Repair Blood Vessel, Direct; Intrathoracic, W/Bypass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2123.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Conjunctivorhinostomy; W/Insertion, Tube/Stent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68750","description":"Conjunctivorhinostomy; W/Insertion, Tube/Stent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1181.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pt no ref otolo no spec","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8568","description":"Pt no ref otolo no spec","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lumbar Sling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1090","description":"Lumbar Sling","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":109.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted allergy/clinical immunologic service or procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95199","description":"Unlisted allergy/clinical immunologic service or procedure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation that neoplasm detected is only diagnosed as traditional serrated adenoma, sessile serrated polyp, or sessile serrated adenoma","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9934","description":"Documentation that neoplasm detected is only diagnosed as traditional serrated adenoma, sessile serrated polyp, or sessile serrated adenoma","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shoe Molded To Pt Silicone S","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3251","description":"Shoe Molded To Pt Silicone S","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9587","description":"Gallium ga-68, dotatate, diagnostic, 0.1 millicurie","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":63.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Red cell antigen (Kell blood group) genotyping (KEL), gene analysis, KEL (Kell metallo-endopeptidase [Kell blood group]) exon 8.","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0194U","description":"Red cell antigen (Kell blood group) genotyping (KEL), gene analysis, KEL (Kell metallo-endopeptidase [Kell blood group]) exon 8.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":203.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing, incl dev interrogation and programming, and img supervision and interp, when performed; complete system","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0515T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing, incl dev interrogation and programming, and img supervision and interp, when performed; complete system","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":944.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ergonovine Maleate Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1330","description":"Ergonovine Maleate Injection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGP5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hydroxyurea, oral 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0176","description":"Hydroxyurea, oral 500 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cannulation, Thoracic Duct","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38794","description":"Cannulation, Thoracic Duct","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":458.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Kidney Imaging; W/Vascular Flow","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78701","description":"Kidney Imaging; W/Vascular Flow","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":327.54,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":35.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":292.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Testing, Autonomic Nervous System; Sympathetic Adrenergic Function","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95922","description":"Testing, Autonomic Nervous System; Sympathetic Adrenergic Function","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":73.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":76.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":149.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy/Excision, Cervix Lesion W/Wo Fulguration (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57500","description":"Biopsy/Excision, Cervix Lesion W/Wo Fulguration (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":191.86,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":191.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chloride; Other Source","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82438","description":"Chloride; Other Source","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Accession Of Tissue, Gross And Microscopic Exam, Includes Assessment Of Margins, Prep And Transmission Of Report","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0474","description":"Accession Of Tissue, Gross And Microscopic Exam, Includes Assessment Of Margins, Prep And Transmission Of Report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":107.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sinusotomy, Sphenoid, W/Wo Bx; W/Mucosal Stripping/Removal, Polyp(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31051","description":"Sinusotomy, Sphenoid, W/Wo Bx; W/Mucosal Stripping/Removal, Polyp(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":969.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":969.37,"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":"G2090","description":"Patients 66 years of age and older with at least one claim/encounter for frailty and a dispensed medication for dementia during the measurement period or the year prior","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Long-acting inhaled bronchodilator prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9695","description":"Long-acting inhaled bronchodilator prescribed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unknown","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4371","description":"Unknown","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":4.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":4.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgery, Intracranial Aneurysm, Simple, Intracranial Approach; Carotid Circulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61700","description":"Surgery, Intracranial Aneurysm, Simple, Intracranial Approach; Carotid Circulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5305.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clotting; Prekallikrein Assay (Fletcher Factor Assay)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85292","description":"Clotting; Prekallikrein Assay (Fletcher Factor Assay)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":20.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6692","description":"Upper extremity addition, silicone gel insert or equal, with or without locking mechanism, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":532.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":655.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":655.48,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":532.79,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Endolymphatic Sac Operation; W/O Shunt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69805","description":"Endolymphatic Sac Operation; W/O Shunt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1599.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, triptorelin, extended-release, 3.75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3316","description":"Injection, triptorelin, extended-release, 3.75 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3772.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection(s), Diag/Therapeutic Agent, Paravertebral Facet Joint or Nerves, W Image Guidance, Lumbar/Sacral; Second Level","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64494","description":"Injection(s), Diag/Therapeutic Agent, Paravertebral Facet Joint or Nerves, W Image Guidance, Lumbar/Sacral; Second Level","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":129.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphinc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43277","description":"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphinc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":590.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closure, Vesicovaginal Fistula; Vaginal Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57320","description":"Closure, Vesicovaginal Fistula; Vaginal Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":808.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thrombectomy, Open, Av Fistula, W/O Revision, Autogenous/Nonautogenous Dialysis Graft (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36831","description":"Thrombectomy, Open, Av Fistula, W/O Revision, Autogenous/Nonautogenous Dialysis Graft (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":957.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revascularization, Endovasc, Open / Percut, Tibial/Peroneal Artery, Unilat, Ea Addl Vessel; W Translum Stent Placements","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37234","description":"Revascularization, Endovasc, Open / Percut, Tibial/Peroneal Artery, Unilat, Ea Addl Vessel; W Translum Stent Placements","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":5831.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroplasty, Knee, Condyle & Plateau; Medial/Lateral Compartment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27446","description":"Arthroplasty, Knee, Condyle & Plateau; Medial/Lateral Compartment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1771.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97810","description":"Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"}]}]},{"negotiation_arrangement":"ffs","name":"Placement of Needles or Catheters into Muscle and/or Soft Tissue for Subsequent Interstitial Radioelement Application","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20555","description":"Placement of Needles or Catheters into Muscle and/or Soft Tissue for Subsequent Interstitial Radioelement Application","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":498.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient not discharge to home by post-operative day #2 following EVAR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8833","description":"Patient not discharge to home by post-operative day #2 following EVAR","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Retreatment Of Previous Root Canal Therapy - Bicuspid","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D3347","description":"Retreatment Of Previous Root Canal Therapy - Bicuspid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":677.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bronchoscopy Brushing-Flex Scope","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31627","description":"Bronchoscopy Brushing-Flex Scope","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2101.45,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":2101.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodes,Diskec,Cerv,P.App;auto Gf","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22552","description":"Arthrodes,Diskec,Cerv,P.App;auto Gf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":619.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":619.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Placement of Needles, Catheters, or Other Device(s) into the Head/Neck Region for Interstitial Radioelement Application","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"41019","description":"Placement of Needles, Catheters, or Other Device(s) into the Head/Neck Region for Interstitial Radioelement Application","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":722.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9264","description":"Documentation of patient receiving maintenance hemodialysis for greater than or equal to 90 days with a catheter for documented reasons","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Med.Conference by Dr-Mangmnt;50 Min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99156","description":"Med.Conference by Dr-Mangmnt;50 Min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":113.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":113.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Xenograft skin (dermal), f/s/e/m/n/e/o/g/h/f/d; 1st 100 sq cm or less, or 1% of body area infant/child","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15420","description":"Xenograft skin (dermal), f/s/e/m/n/e/o/g/h/f/d; 1st 100 sq cm or less, or 1% of body area infant/child","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77003","description":"Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":140.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":140.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":95.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Particle Agglutination; Screen, Each Antibody","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86403","description":"Particle Agglutination; Screen, Each Antibody","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":12.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Moderate compression bandage, elastic, knitted/woven, width 5 in. or greater per yard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6451","description":"Moderate compression bandage, elastic, knitted/woven, width 5 in. or greater per yard","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Helicobacter Pylori, Blood Test Analysis For Urease Activity, Non-Radioactive Isotope (Eg, C-13)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83009","description":"Helicobacter Pylori, Blood Test Analysis For Urease Activity, Non-Radioactive Isotope (Eg, C-13)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":74.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anticonvul med therapy for 6 months or more","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4230F","description":"Anticonvul med therapy for 6 months or more","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycobacteria Species, Quantification","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87552","description":"Infectious Agent, Nucleic Acid (Dna/Rna); Mycobacteria Species, Quantification","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":47.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Family Psychotherapy (W/O Patient Present)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90846","description":"Family Psychotherapy (W/O Patient Present)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":152.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":152.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision, Drainage, Lacrimal Sac (Dacryocystotomy/Dacryocystostomy)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68420","description":"Incision, Drainage, Lacrimal Sac (Dacryocystotomy/Dacryocystostomy)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":479.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 3, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5CHKU","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 3, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Init Bk Ptb Plaster Direct","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5500","description":"Init Bk Ptb Plaster Direct","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1223.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1505.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Initial Obsv Care, 3 Key Components: Comprehensive Hx; Comprehensive Exam; Med Decision High Complex","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99220","description":"Initial Obsv Care, 3 Key Components: Comprehensive Hx; Comprehensive Exam; Med Decision High Complex","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":278.25,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":278.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anoscopy; W/Removal, Single Tumor, Polyp/Other Lesion, Snare Technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46611","description":"Anoscopy; W/Removal, Single Tumor, Polyp/Other Lesion, Snare Technique","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":266.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ophthalmoscopy, extended, with retinal drawing, with interpretation and report; initial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92225","description":"Ophthalmoscopy, extended, with retinal drawing, with interpretation and report; initial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":40.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, ublituximab-xiiy, 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2329","description":"Injection, ublituximab-xiiy, 1mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":70.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy, Epididymis, Needle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54800","description":"Biopsy, Epididymis, Needle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":204.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":204.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sm Intestinal Endo/Enteroscopy > 2nd Portion Duodenum, Not W/Ileum; W/Transendo Stent Placement","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44370","description":"Sm Intestinal Endo/Enteroscopy > 2nd Portion Duodenum, Not W/Ileum; W/Transendo Stent Placement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":415.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy, surgical, with maxillary antrostomy;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31256","description":"Nasal/sinus endoscopy, surgical, with maxillary antrostomy;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":299.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":299.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rebase Mandibular Partial Denture","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5721","description":"Rebase Mandibular Partial Denture","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":416.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5AGKS","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, Complex - Medium, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2DB11","description":"Early - Institutional, Complex - Medium, Comorbidity = 0","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Treatment Proc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77470","description":"Special Treatment Proc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":58.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":216.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":158.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Craniotomy with Elevation of Bone Flap; for Multiple Subpial Transections, with Electrocorticography During Surgery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61567","description":"Craniotomy with Elevation of Bone Flap; for Multiple Subpial Transections, with Electrocorticography During Surgery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3679.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneursm, Inomint/Subclav, Thorac Incis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35022","description":"Repair Direct/False Aneurysm/Excision & Graft Insert; Ruptr Aneursm, Inomint/Subclav, Thorac Incis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2210.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88141","description":"Cytopathology, Cervical/Vaginal; Requiring Interpretation, Physician","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":48.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Malignant Lesion, Incl Margins, Trunk/Arms/Legs; Excised Diam > 4.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11606","description":"Excision, Malignant Lesion, Incl Margins, Trunk/Arms/Legs; Excised Diam > 4.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":679.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminoplasty, Cervical, With Decompression Of The Spinal Cord, Two Or More Vertebral Segments;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63050","description":"Laminoplasty, Cervical, With Decompression Of The Spinal Cord, Two Or More Vertebral Segments;","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2320.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - Endocrine - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1IA31","description":"Early - Community, MMTA - Endocrine - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gravity Assisted Traction De","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0941","description":"Gravity Assisted Traction De","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":481.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":481.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":481.44,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":50.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":481.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":50.34,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Intraventricular Pacing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93612","description":"Intraventricular Pacing","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":138.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":250.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":1.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Cross-Over Vein Graft To Venous System","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"34520","description":"Cross-Over Vein Graft To Venous System","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1632.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"removal of temporary anchorage device [screw retained plate], requiring flap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7298","description":"removal of temporary anchorage device [screw retained plate], requiring flap","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Production Glove","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6890","description":"Production Glove","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":176.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":217.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reusable underpad bed size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4537","description":"Reusable underpad bed size","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":19.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, romidepsin, non-lyophilized, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9318","description":"Injection, romidepsin, non-lyophilized, 0.1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology, biochemical assay of four proteins (Total PSA,Free PSA,Intact PSA,human kallikrein-2), utilizing plasma or serum, prognostic algorithm reported as probability score","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81539","description":"Oncology, biochemical assay of four proteins (Total PSA,Free PSA,Intact PSA,human kallikrein-2), utilizing plasma or serum, prognostic algorithm reported as probability score","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":836.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":836.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Methadone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80358","description":"Methadone","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Initial Obsv Care, 3 Key Components: Comprehensive History;Comprehensive Exam; Med Decision High Complexity","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99220","description":"Initial Obsv Care, 3 Key Components: Comprehensive History;Comprehensive Exam; Med Decision High Complexity","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":278.25,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":278.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Susceptibility Studies, Antimicrob Agent; Macrobroth Dilution Method, Ea Agent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87188","description":"Susceptibility Studies, Antimicrob Agent; Macrobroth Dilution Method, Ea Agent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":7.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage, Deep Periurethral Abscess","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53040","description":"Drainage, Deep Periurethral Abscess","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":600.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"repair resin partial denture base, mandibular","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5611","description":"repair resin partial denture base, mandibular","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":156.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGK5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BGKX","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient received at least one Td vaccine or one Tdap vaccine between nine years prior to the start of the measurement period and the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2154","description":"Patient received at least one Td vaccine or one Tdap vaccine between nine years prior to the start of the measurement period and the end of the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"In111 ibritumomab, dx","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9542","description":"In111 ibritumomab, dx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3990.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Vaginal Cyst/Tumor","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57135","description":"Excision, Vaginal Cyst/Tumor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":289.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33858","description":"Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6009.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, MMTA - Endocrine - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3IA31","description":"Late - Community, MMTA - Endocrine - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laryngectomy; Total, W/O Radical Neck Dissection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31360","description":"Laryngectomy; Total, W/O Radical Neck Dissection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3202.79,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":3202.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AGMX","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam; Sternum, 2+ Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"71120","description":"Radiologic Exam; Sternum, 2+ Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":28.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":43.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Parathyroid Autotransplantation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60512","description":"Parathyroid Autotransplantation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":372.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical; Repair, Inguinal Hernia, Initial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49650","description":"Laparoscopy, Surgical; Repair, Inguinal Hernia, Initial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":655.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BHL5","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Diaphragmatic Hernia (Other Than Neonatal), Traumatic; Acute","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"39540","description":"Repair, Diaphragmatic Hernia (Other Than Neonatal), Traumatic; Acute","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1332.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Proctectomy, Partial, W/Rectal Mucosectomy, Ileoanal Anastomos, Ileal Reservoir W/Wo Loop Ileostomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45113","description":"Proctectomy, Partial, W/Rectal Mucosectomy, Ileoanal Anastomos, Ileal Reservoir W/Wo Loop Ileostomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2969.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Cervical Stump, Abdominal Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57540","description":"Excision, Cervical Stump, Abdominal Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1274.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81180","description":"ATXN3 (ataxin 3) (eg, spinocerebellar ataxia, Machado-Joseph disease) gene analysis, evaluation to detect abnormal (eg, expanded) alleles","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":150.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Reoperation, Carotid, Thromboendarterectomy, > 1 Month Postop","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35390","description":"Reoperation, Carotid, Thromboendarterectomy, > 1 Month Postop","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":248.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ethmoidectomy; Intranasal, Anterior","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31200","description":"Ethmoidectomy; Intranasal, Anterior","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":860.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"1 Stage Distal Hypospadias Repair; W/Urethroplasty, Local Skin Flaps","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54324","description":"1 Stage Distal Hypospadias Repair; W/Urethroplasty, Local Skin Flaps","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1480.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient had at least one medical visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between medical visits","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9247","description":"Patient had at least one medical visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between medical visits","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Skin & Subq Tissue, Hidradenitis, Perianal/Perineal/Umbilical; W/ Complex Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11471","description":"Excision, Skin & Subq Tissue, Hidradenitis, Perianal/Perineal/Umbilical; W/ Complex Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":769.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (Ovarian), Biochemical Assays Of Two Proteins, Serum, W Menopausal Status, Algorithm Reported As A Risk Score","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81500","description":"Oncology (Ovarian), Biochemical Assays Of Two Proteins, Serum, W Menopausal Status, Algorithm Reported As A Risk Score","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":286.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":286.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":286.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":286.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cauterization, Cervix; Laser Ablation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57513","description":"Cauterization, Cervix; Laser Ablation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":218.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteoplasty, Lengthening, Metacarpal/Phalanx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26568","description":"Osteoplasty, Lengthening, Metacarpal/Phalanx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1346.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection(s), platelet rich plasma, any tissue, including image guidance, harvesting and preparation when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0232T","description":"Injection(s), platelet rich plasma, any tissue, including image guidance, harvesting and preparation when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":133.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2170","description":"Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation of viral load less than 200 copies/ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9243","description":"Documentation of viral load less than 200 copies/ml","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unknown","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5003","description":"Unknown","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, Wound - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CA31","description":"Late - Institutional, Wound - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus >250gms; W/Remove Tube(S) &/Or Ovary(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58554","description":"Laparoscopy, Surg, W/Vaginal Hysterectomy, Uterus >250gms; W/Remove Tube(S) &/Or Ovary(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2002.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51020","description":"Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":717.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sinusitis caused by, or presumed to be caused by, bacterial infection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9364","description":"Sinusitis caused by, or presumed to be caused by, bacterial infection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Parenteral Sol Renal-Amirosy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B5000","description":"Parenteral Sol Renal-Amirosy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Femoral Shaft Fx, W/O Manipulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27500","description":"Closed Treatment, Femoral Shaft Fx, W/O Manipulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":786.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AGMV","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcutaneous Electrical Modulation Pain Reprocessing, Each Treatment Session (Includes Placement Of Electrodes)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0278T","description":"Transcutaneous Electrical Modulation Pain Reprocessing, Each Treatment Session (Includes Placement Of Electrodes)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amalgam - Two Surfaces, Permanent","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2150","description":"Amalgam - Two Surfaces, Permanent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":93.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Colposcopy, Cervix W/Upper Adjacent Vagina; W/Biopsy(S), Cervix & Endocervical Curettage","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57454","description":"Colposcopy, Cervix W/Upper Adjacent Vagina; W/Biopsy(S), Cervix & Endocervical Curettage","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":230.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":230.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, W/Other Than Vein; Axillary-Popliteal/-Tibial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35623","description":"Bypass Graft, W/Other Than Vein; Axillary-Popliteal/-Tibial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2054.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, with other than Vein; Ilio-Celiac","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35632","description":"Bypass Graft, with other than Vein; Ilio-Celiac","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2804.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Thyroglossal Duct Cyst/Sinus; Recurrent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60281","description":"Excision, Thyroglossal Duct Cyst/Sinus; Recurrent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":898.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Home Visit Individual, Family, Marriage Counseling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99510","description":"Home Visit Individual, Family, Marriage Counseling","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (bladder), methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTE-qMSP), urine, likelihood of bladder cancer","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0452U","description":"Oncology (bladder), methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTE-qMSP), urine, likelihood of bladder cancer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":211.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hospice in LT/non-skilled NF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5003","description":"Hospice in LT/non-skilled NF","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mediskin","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4135","description":"Mediskin","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laryngoplasty, medialization, unilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31591","description":"Laryngoplasty, medialization, unilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1582.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, surgical; proctopexy (for prolapse)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45400","description":"Laparoscopy, surgical; proctopexy (for prolapse)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1751.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGKW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Capsulotomy, Midtarsal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28264","description":"Capsulotomy, Midtarsal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1338.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient presented with a minor blunt head trauma and had a head CT ordered for trauma by an emergency care provider","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9594","description":"Patient presented with a minor blunt head trauma and had a head CT ordered for trauma by an emergency care provider","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Of Maxillofacial Soft And Hard Tissue Defect","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7955","description":"Repair Of Maxillofacial Soft And Hard Tissue Defect","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2510.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pneumocystis jiroveci pneumonia prophylaxis prescribed wthin 3 months of low cd4+ cell count below 200 cells/mm3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9222","description":"Pneumocystis jiroveci pneumonia prophylaxis prescribed wthin 3 months of low cd4+ cell count below 200 cells/mm3","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision & Drainage, Upper Arm/Elbow Area; Deep Abscess/Hematoma","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23930","description":"Incision & Drainage, Upper Arm/Elbow Area; Deep Abscess/Hematoma","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":536.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"More than one ct scan of the paranasal sinuses not ordered within 90 days after the date of diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9354","description":"More than one ct scan of the paranasal sinuses not ordered within 90 days after the date of diagnosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64454","description":"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":402.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGKS","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - Cardiac - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2HA31","description":"Early - Institutional, MMTA - Cardiac - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Hepatitis, Delta Agent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86692","description":"Antibody; Hepatitis, Delta Agent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.88,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":18.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Latex Suspension Sleeve Each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6632","description":"Latex Suspension Sleeve Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":76.15,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":61.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"EF ped complete intact nut","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4158","description":"EF ped complete intact nut","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Extensor Tendon, Hand, Primary/Secondary; W/O Free Graft, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26410","description":"Repair, Extensor Tendon, Hand, Primary/Secondary; W/O Free Graft, Each Tendon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":843.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, Hip Joint (Including Obtaining Graft);","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27284","description":"Arthrodesis, Hip Joint (Including Obtaining Graft);","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2263.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, surg, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port components","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43774","description":"Laparoscopy, surg, gastric restrictive procedure; removal of adjustable gastric band and subcutaneous port components","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1471.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Colorectal Scrn; Hi Risk Ind","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0105","description":"Colorectal Scrn; Hi Risk Ind","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":475.41,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":475.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"53"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87513","description":"Infectious agent detection by nucleic acid (DNA or RNA); Helicobacter pylori (H. pylori), clarithromycin resistance, amplified probe technique","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair accessory, seat upholstery, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0981","description":"Wheelchair accessory, seat upholstery, replacement only, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":50.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Ascorbic Acid (Vitamin C), Blood","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82180","description":"Ascorbic Acid (Vitamin C), Blood","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":10.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PelloGraft, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4320","description":"PelloGraft, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, with Vein; Axillary-Brachial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35522","description":"Bypass Graft, with Vein; Axillary-Brachial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1880.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cerclage, Uterine Cervix, Nonobstetrical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57700","description":"Cerclage, Uterine Cervix, Nonobstetrical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":472.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGN6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 4,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Tonsil Tags","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42860","description":"Excision, Tonsil Tags","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":287.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Lacrimal Sac (Dacryocystectomy)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68520","description":"Excision, Lacrimal Sac (Dacryocystectomy)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1031.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Comprehensive Electrophysiologic Evaluation; With Treatment Of Ventricular Tachycardia Or Focus Of Ventricular Ectopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93654","description":"Comprehensive Electrophysiologic Evaluation; With Treatment Of Ventricular Tachycardia Or Focus Of Ventricular Ectopy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1728.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopy: Debridement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7877","description":"Arthroscopy: Debridement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2063.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2063.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHNW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Molecular Pathology Procedure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81479","description":"Unlisted Molecular Pathology Procedure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":375.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Complex, Eyelids, Nose, Ears &/Or Lips; Add'l 5.0 Cm/<","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"13153","description":"Repair, Complex, Eyelids, Nose, Ears &/Or Lips; Add'l 5.0 Cm/<","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":293.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cytogenomic Constitutional (Genome-Wide) Microarray Analysis; Interrogation Of Genomic Regions For Copy Number Variants","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81228","description":"Cytogenomic Constitutional (Genome-Wide) Microarray Analysis; Interrogation Of Genomic Regions For Copy Number Variants","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":990.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":990.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":990.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":990.0,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"guided tissue regeneration, edentulous area – non-resorbable barrier, per site","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7957","description":"guided tissue regeneration, edentulous area – non-resorbable barrier, per site","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":892.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"duoGRAFT AC, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4375","description":"duoGRAFT AC, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"SAV for the E&M of a new patient, which requires a medically appropriate history and/or exam, straightforward medical decision making, and 10 min+ of medical discussion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98008","description":"SAV for the E&M of a new patient, which requires a medically appropriate history and/or exam, straightforward medical decision making, and 10 min+ of medical discussion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":93.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Silica","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84285","description":"Silica","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":27.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Ct Scan, Lower Extremity; W/O Contrast, Then W/Contrast & Further Sections","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73702","description":"Ct Scan, Lower Extremity; W/O Contrast, Then W/Contrast & Further Sections","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":92.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":409.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":317.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e,g. Dobutamine)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S9348","description":"Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e,g. Dobutamine)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":119.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - Infectious - Medium, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4KB31","description":"Late - Institutional, MMTA - Infectious - Medium, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopy, Ankle, Surgical; W/Ankle Arthrodesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29899","description":"Arthroscopy, Ankle, Surgical; W/Ankle Arthrodesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1584.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Detachable, adjustable height armrest, base, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0017","description":"Detachable, adjustable height armrest, base, replacement only, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":57.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":57.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":57.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":57.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"All quality actions for the applicable measures in the asthma measures group have been performed for this patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8646","description":"All quality actions for the applicable measures in the asthma measures group have been performed for this patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CGKT","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Assessment Of Tinnitus (Includes Pitch, Loudness Matching, And Masking)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92625","description":"Assessment Of Tinnitus (Includes Pitch, Loudness Matching, And Masking)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":106.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90967","description":"End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Collection of capillary blood specimen (eg, finger, heel, ear stick)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36416","description":"Collection of capillary blood specimen (eg, finger, heel, ear stick)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":17.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Splint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4570","description":"Splint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Kafo Dbl Solid Stirrup Band/","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2020","description":"Kafo Dbl Solid Stirrup Band/","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1392.25,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1712.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient Transfer System","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1035","description":"Patient Transfer System","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":741.69,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Intraoperative Radiation Treatment Delivery, X-Ray, Single Treatment Session","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77424","description":"Intraoperative Radiation Treatment Delivery, X-Ray, Single Treatment Session","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 3, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5CFKS","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 3, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Individual Psychotherapy Insight 75-80 Minute Home Visit Evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0088","description":"Individual Psychotherapy Insight 75-80 Minute Home Visit Evaluation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":392.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":392.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"implant supported crown – porcelain fused to predominately base alloys","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6082","description":"implant supported crown – porcelain fused to predominately base alloys","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":926.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urinary Undiversion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50830","description":"Urinary Undiversion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2786.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BFL1","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Salivary Gland; Needle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42400","description":"Bx, Salivary Gland; Needle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":160.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suture, Sciatic Nerve","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64858","description":"Suture, Sciatic Nerve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1790.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amputation, Leg, Through Tibia & Fibula; Secondary Closure/Scar Revision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27884","description":"Amputation, Leg, Through Tibia & Fibula; Secondary Closure/Scar Revision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":882.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Macroscopic Exam; Parasite","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87169","description":"Macroscopic Exam; Parasite","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":4.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Upper GI endoscopy; with removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43247","description":"Upper GI endoscopy; with removal of foreign body","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":526.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":526.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5BHK1","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fluid Flow or Fluid GF, 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4206","description":"Fluid Flow or Fluid GF, 1 cc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flexor Tendon Repair/Advance, Not In Zone 2 \"No Man's Land\"; Prim/Second W/O Free Graft, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26350","description":"Flexor Tendon Repair/Advance, Not In Zone 2 \"No Man's Land\"; Prim/Second W/O Free Graft, Each Tendon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1063.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1063.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical; W/Removal, Adnexal Structures","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58661","description":"Laparoscopy, Surgical; W/Removal, Adnexal Structures","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":981.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"all quality actions for the applicable measures in the multiple chronic conditions measures group have been performed for this patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9670","description":"all quality actions for the applicable measures in the multiple chronic conditions measures group have been performed for this patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Palatal/Maxillary Fx (Lefort I Type); Complicated, Multiple Approaches","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21423","description":"Open Treatment, Palatal/Maxillary Fx (Lefort I Type); Complicated, Multiple Approaches","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1205.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood glucose monitor with integrated lancing/blood sample","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2101","description":"Blood glucose monitor with integrated lancing/blood sample","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":257.27,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":25.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":257.27,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Humeral Condylar Fx, Medial/Lateral, W/Wo Int/Ext Fixation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24579","description":"Open Treatment, Humeral Condylar Fx, Medial/Lateral, W/Wo Int/Ext Fixation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1272.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"caries risk assessment and documentation, with a a finding of moderate risk","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0602","description":"caries risk assessment and documentation, with a a finding of moderate risk","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Tarsometatarsal Joint Dislocation; Requiring Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28605","description":"Closed Treatment, Tarsometatarsal Joint Dislocation; Requiring Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":496.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Postop App Non-Wgt Bear Dsg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5450","description":"Postop App Non-Wgt Bear Dsg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":517.15,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":420.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Special Reports/Insurance Forms","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99080","description":"Special Reports/Insurance Forms","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"VR proced dissocn svc prov by same phys/other QHP perf diag/ther svc that VR proced dissocn supports, req pres ind, trained obs to assist; init 15 min intraservice tme, 5 yrs+","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0771T","description":"VR proced dissocn svc prov by same phys/other QHP perf diag/ther svc that VR proced dissocn supports, req pres ind, trained obs to assist; init 15 min intraservice tme, 5 yrs+","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.09,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, MMTA - Other - High, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AC21","description":"Early - Community, MMTA - Other - High, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"BIA whole body","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0358T","description":"BIA whole body","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.17,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"MR safety determination by a physician or other QHP responsible for the safety of the MR procedure, with written report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76016","description":"MR safety determination by a physician or other QHP responsible for the safety of the MR procedure, with written report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":136.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":53.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0055U","description":"Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3564.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Abutment Supported Retainer For Porcelain Fused To Metal Fpd (High Noble Metal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6069","description":"Abutment Supported Retainer For Porcelain Fused To Metal Fpd (High Noble Metal)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":820.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extended Ophthalmoscopy W/Retinal Drawing, W/Interpretation & Report; Initial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92225","description":"Extended Ophthalmoscopy W/Retinal Drawing, W/Interpretation & Report; Initial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":40.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":40.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO, Sagittal Control, Rigid Posterr Frame And Flex Soft Anterr Apron","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0466","description":"TLSO, Sagittal Control, Rigid Posterr Frame And Flex Soft Anterr Apron","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":421.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":519.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Conforming bandage, non-elastic, knitted/woven, sterile, width 3-5 in. per yard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6447","description":"Conforming bandage, non-elastic, knitted/woven, sterile, width 3-5 in. per yard","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.93,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":0.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Creatine Kinase (Ck), (Cpk); Total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82550","description":"Creatine Kinase (Ck), (Cpk); Total","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":7.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGPU","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Disp fee inhal drugs/30 days","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0513","description":"Disp fee inhal drugs/30 days","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, with Vein; Aortobi-Iliac","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35538","description":"Bypass Graft, with Vein; Aortobi-Iliac","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3653.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage Ext Ear, Abscess/Hematoma; Complicated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69005","description":"Drainage Ext Ear, Abscess/Hematoma; Complicated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroplasty, Elbow; W/Distal Humerus/Proximal Ulnar Prosthetic Replacement","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24363","description":"Arthroplasty, Elbow; W/Distal Humerus/Proximal Ulnar Prosthetic Replacement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2223.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33987","description":"Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":324.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rabies Immune Globulin (Rig), Human, Im &/Or Subcutaneous Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90375","description":"Rabies Immune Globulin (Rig), Human, Im &/Or Subcutaneous Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":266.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":266.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGM6","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hla Class I And Ii Typing, High Resolution (Ie, Alleles Or Allele Groups), Hla-A, -B, -C, And -Drb1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81378","description":"Hla Class I And Ii Typing, High Resolution (Ie, Alleles Or Allele Groups), Hla-A, -B, -C, And -Drb1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":380.13,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":380.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Replace Cochlear Processor","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8619","description":"Replace Cochlear Processor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9452.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Self-Care Education Provided To Patient (Hf)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4450F","description":"Self-Care Education Provided To Patient (Hf)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3678","description":"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, prefabricated, off-the-shelf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":244.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"All quality actions for the applicable measures in the cardiovascular prevention measures group have been performed for the patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9677","description":"All quality actions for the applicable measures in the cardiovascular prevention measures group have been performed for the patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Therapeutic, Prophylactic, or Diagnostic Injection; Ea Additional Sequential IV Push of A New Substance/Drug (List Sep)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96375","description":"Therapeutic, Prophylactic, or Diagnostic Injection; Ea Additional Sequential IV Push of A New Substance/Drug (List Sep)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroplasty, Ankle; Revision, Total Ankle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27703","description":"Arthroplasty, Ankle; Revision, Total Ankle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1691.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BGKX","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"POV group 2 vhd 451-600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0808","description":"POV group 2 vhd 451-600 lbs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4079.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":407.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":4079.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90655","description":"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":23.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Heavy Duty Shock Absorber For Heavy Duty Or Extra Heavy Duty Power Whe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1018","description":"Heavy Duty Shock Absorber For Heavy Duty Or Extra Heavy Duty Power Whe","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":190.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":190.74,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Unknown","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32408","description":"Unknown","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1501.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1501.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Optic Nerve Decompression","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67570","description":"Optic Nerve Decompression","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1752.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insulin-Induced C-Peptide Suppression Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80432","description":"Insulin-Induced C-Peptide Suppression Panel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":182.17,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":182.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Alginate Drsg >16 <=48 Sq In","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6197","description":"Alginate Drsg >16 <=48 Sq In","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":22.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intersex Surgery; Male To Female","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55970","description":"Intersex Surgery; Male To Female","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7554.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Calculus; X-Ray Diffraction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82370","description":"Calculus; X-Ray Diffraction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BGMV","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, tocilizumab-anoh, for hosp adult patients w/ COVID-19 rec systemic corticosteroids and req supp oxygen, noninvasive/invasive mechanical ventilation/ECMO only, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0237","description":"Injection, tocilizumab-anoh, for hosp adult patients w/ COVID-19 rec systemic corticosteroids and req supp oxygen, noninvasive/invasive mechanical ventilation/ECMO only, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BFKX","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Sacral Pressure Ulcer, W/Skin Flap Closure; W/Ostectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15935","description":"Excision, Sacral Pressure Ulcer, W/Skin Flap Closure; W/Ostectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1679.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endo Knee-Shin Polyc Mch Sta","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5816","description":"Endo Knee-Shin Polyc Mch Sta","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":810.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":996.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemorrhoidopexy (Eg, For Prolapsing Internal Hemorrhoids) By Stapling","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46947","description":"Hemorrhoidopexy (Eg, For Prolapsing Internal Hemorrhoids) By Stapling","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":584.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AFNT","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology treatment decision","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9051","description":"Oncology treatment decision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Presence/Absence Urinary Incontinence Assessed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1090F","description":"Presence/Absence Urinary Incontinence Assessed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lysis, Perq Epidural Adhesions, Solution Injection/Mechanical W/Radiologic Localization; 1 Day","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62264","description":"Lysis, Perq Epidural Adhesions, Solution Injection/Mechanical W/Radiologic Localization; 1 Day","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":630.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Full Mouth Debridement To Enable Comprehensive Periodontal Evaluation And Diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D4355","description":"Full Mouth Debridement To Enable Comprehensive Periodontal Evaluation And Diagnosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":102.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Toilet Rail","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0243","description":"Toilet Rail","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":66.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Extensor Tendon, Central Slip, Secondary; W/Free Graft (Inc Obtaining Graft), Each Finger","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26428","description":"Repair, Extensor Tendon, Central Slip, Secondary; W/Free Graft (Inc Obtaining Graft), Each Finger","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1106.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"implant supported retainer – porcelain fused to predominately base alloys","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6098","description":"implant supported retainer – porcelain fused to predominately base alloys","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":758.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Physician Supervision, Nursing Facility Patient; 15-29 Min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99379","description":"Physician Supervision, Nursing Facility Patient; 15-29 Min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":104.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Acute Hepatitis Panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80074","description":"Acute Hepatitis Panel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":52.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia, any approach, initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49621","description":"Repair of parastomal hernia, any approach, initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1367.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHPW","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Special Base Curve","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2730","description":"Special Base Curve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Laceration, Tongue, Mouth Floor, > 2.6 Cm/Complex","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"41252","description":"Repair, Laceration, Tongue, Mouth Floor, > 2.6 Cm/Complex","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":485.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45990","description":"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":165.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroplasty, Knee, Tibial Plateau","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27440","description":"Arthroplasty, Knee, Tibial Plateau","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1212.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Handling &/Or Conveyance, Specimen Transfer, Physician's Office To Lab","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99000","description":"Handling &/Or Conveyance, Specimen Transfer, Physician's Office To Lab","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intradermal cancer immunotherapy; preparation and initial injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0708T","description":"Intradermal cancer immunotherapy; preparation and initial injection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":156.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Uniplane (Pins/Wires In One Plane), Unilat, Ext Fixation System","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20690","description":"Application, Uniplane (Pins/Wires In One Plane), Unilat, Ext Fixation System","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":907.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2224","description":"Manual wheelchair accessory, propulsion wheel excludes tire, any size, replacement only, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":112.16,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":112.16,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":11.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"AMNIPLY, for topical use only, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4249","description":"AMNIPLY, for topical use only, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1789.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision & Drainage, Appendiceal Abscess; Open","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44900","description":"Incision & Drainage, Appendiceal Abscess; Open","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1177.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BFNX","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Annual depression screening, 5 to 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0444","description":"Annual depression screening, 5 to 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":27.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21603","description":"Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3035.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bone Marrow Imaging; Whole Body","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78104","description":"Bone Marrow Imaging; Whole Body","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":380.01,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":322.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Mandibular Resection Prosthesis With Guide Flange","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D5934","description":"Mandibular Resection Prosthesis With Guide Flange","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3915.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clostridium difficile testing performed (IBD)10","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3520F","description":"Clostridium difficile testing performed (IBD)10","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, aducanumab-avwa, 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0172","description":"Injection, aducanumab-avwa, 2 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Aerosol Compressor Adjust Pr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0572","description":"Aerosol Compressor Adjust Pr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":37.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":422.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":512.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody; Borrelia (Relapsing Fever)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86619","description":"Antibody; Borrelia (Relapsing Fever)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":14.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fluorescein Angiography (W/Multiframe Imaging) W/Interpretation & Report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92235","description":"Fluorescein Angiography (W/Multiframe Imaging) W/Interpretation & Report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":63.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":65.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":65.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":63.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":128.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":128.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Kafo Plastic Pediatric Size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2035","description":"Kafo Plastic Pediatric Size","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":206.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":167.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage External Ear, Abscess/Hematoma; Complicatedo","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69005","description":"Drainage External Ear, Abscess/Hematoma; Complicatedo","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":323.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cardiac Shunt Detection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78428","description":"Cardiac Shunt Detection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":280.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":223.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":56.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BGK2","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ext electrocardiographic recording more than 7 days up to 15 days by continuous rhythm recording & storage; incl recording, scanning analysis w/report, review & interpretation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93245","description":"Ext electrocardiographic recording more than 7 days up to 15 days by continuous rhythm recording & storage; incl recording, scanning analysis w/report, review & interpretation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":510.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bronchoscopy, Rigid Or Flexible; With Balloon Occlusion, W Assessment Of Air Leak, With Admin Occlusive Substance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31634","description":"Bronchoscopy, Rigid Or Flexible; With Balloon Occlusion, W Assessment Of Air Leak, With Admin Occlusive Substance","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2696.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80376","description":"Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 4-6","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, incl fistula maturation procedures when perf","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36837","description":"Percutaneous arteriovenous fistula creation, upper extremity, separate access sites of the peripheral artery and peripheral vein, incl fistula maturation procedures when perf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16503.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGMU","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ciliary body destruction; cyclodialysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66740","description":"Ciliary body destruction; cyclodialysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":655.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, W/Vein; Aortorenal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35560","description":"Bypass Graft, W/Vein; Aortorenal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2653.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43180","description":"Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":839.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Modality To 1+ Areas; Paraffin Bath","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97018","description":"Application, Modality To 1+ Areas; Paraffin Bath","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"exchange of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance, and all associated radiological supervision and int","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47536","description":"exchange of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance, and all associated radiological supervision and int","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1037.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Left ventricular ejection fraction (LVEF) <=40% or documentation of moderately or severely depressed left ventricular systolic function","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8934","description":"Left ventricular ejection fraction (LVEF) <=40% or documentation of moderately or severely depressed left ventricular systolic function","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4CFMV","description":"Late Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mirror coating, any type, solid, gradient or equal, any lens material, per lens","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2761","description":"Mirror coating, any type, solid, gradient or equal, any lens material, per lens","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Documentation amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9315","description":"Documentation amoxicillin, with or without clavulanate, prescribed as a first line antibiotic at the time of diagnosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ace Inhibitor Or Angiotensin Receptor Blocker Therapy Prescribed Or Currently Being Taken","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4010F","description":"Ace Inhibitor Or Angiotensin Receptor Blocker Therapy Prescribed Or Currently Being Taken","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, tofersen, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1304","description":"Injection, tofersen, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Implantation/Replace, Device, Intrathecal/Epidural Drug Infusion; Non-Programmable Pump","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62361","description":"Implantation/Replace, Device, Intrathecal/Epidural Drug Infusion; Non-Programmable Pump","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":649.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cocaine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80353","description":"Cocaine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Therapeutic Radiology Port images(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77417","description":"Therapeutic Radiology Port images(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Foot Longitud/Metatarsal Sup","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3020","description":"Foot Longitud/Metatarsal Sup","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":185.2,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":227.83,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pretreatment Rbc's, Antibody Detection/Id/Compatibility; Incubation W/Chemicals/Drugs, Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86970","description":"Pretreatment Rbc's, Antibody Detection/Id/Compatibility; Incubation W/Chemicals/Drugs, Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.33,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":38.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24340","description":"Tenodesis, Biceps Tendon At Elbow (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":931.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Embedded Fb, Vestibule, Mouth; Simple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40804","description":"Removal, Embedded Fb, Vestibule, Mouth; Simple","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":281.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Neuroma; Sciatic Nerve","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64786","description":"Excision, Neuroma; Sciatic Nerve","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1655.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cerclage, Cervix, During Pregnancy; Vaginal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59320","description":"Cerclage, Cervix, During Pregnancy; Vaginal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":234.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exchange, Intraocular Lens","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66986","description":"Exchange, Intraocular Lens","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1365.28,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17110","description":"Destruction of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":166.42,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":166.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Filter, Disposable, Used With Positive Airway Pressure Device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7038","description":"Filter, Disposable, Used With Positive Airway Pressure Device","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99422","description":"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.42,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":55.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AHM3","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pt hx act drain prev 90 days","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8560","description":"Pt hx act drain prev 90 days","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Motor &/ Sensory Nerve Conduction, Using Preconfigured Electrode Arrays, Amplitude and Latency/Velocity Study, ea Limb","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95905","description":"Motor &/ Sensory Nerve Conduction, Using Preconfigured Electrode Arrays, Amplitude and Latency/Velocity Study, ea Limb","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":102.82,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":4.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":107.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer), DNA, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) gene analysis of 11 gene variants utilizing plasma","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0177U","description":"Oncology (breast cancer), DNA, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) gene analysis of 11 gene variants utilizing plasma","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":302.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endoscopic Photodynamic Therapy; Each Add'l 15 Min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96571","description":"Endoscopic Photodynamic Therapy; Each Add'l 15 Min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":39.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electroconvulsive Therapy (W/Monitoring); Single Seizure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90870","description":"Electroconvulsive Therapy (W/Monitoring); Single Seizure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":263.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Brush biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7288","description":"Brush biopsy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":139.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urography (pyelography), intravenous, with or without KUB, with or without tomography","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74400","description":"Urography (pyelography), intravenous, with or without KUB, with or without tomography","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":164.83,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":37.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":127.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Flexor Tendon Repair/Advance, In Zone 2 \"No Man's Land\"; Secondary, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26357","description":"Flexor Tendon Repair/Advance, In Zone 2 \"No Man's Land\"; Secondary, Each Tendon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1347.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1347.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Elder maltreatment screen documented as positive, follow-up plan not documented, reason not specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8735","description":"Elder maltreatment screen documented as positive, follow-up plan not documented, reason not specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Upper Gi Endoscopy; W/Removal, Fb","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43247","description":"Upper Gi Endoscopy; W/Removal, Fb","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":526.82,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":526.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arrest, Epiphyseal, Combined, Proximal/Distal Tibia/Fibula; & Distal Femur","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27742","description":"Arrest, Epiphyseal, Combined, Proximal/Distal Tibia/Fibula; & Distal Femur","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1149.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Petrous Apicectomy W/Radical Mastoidectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69530","description":"Petrous Apicectomy W/Radical Mastoidectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2531.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"LO sag stays/panels pre-fab","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0626","description":"LO sag stays/panels pre-fab","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":89.5,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":72.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":72.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion, Peritoneal-Venous Shunt","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49425","description":"Insertion, Peritoneal-Venous Shunt","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1105.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CGL2","description":"Early Episode, 14-19 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tracheostomy tube collar/holder, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7526","description":"Tracheostomy tube collar/holder, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.63,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol Or Peroxide Per Pint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4244","description":"Alcohol Or Peroxide Per Pint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.23,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AHL6","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tube, pneum wheel drive tire","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2382","description":"Tube, pneum wheel drive tire","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.19,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":22.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Excision of lesion of mucosa and submucosa, vestibule of mounth; with simple repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40812","description":"Excision of lesion of mucosa and submucosa, vestibule of mounth; with simple repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":444.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":444.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radial Keratotomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65771","description":"Radial Keratotomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1156.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; renal artery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0234T","description":"Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation; renal artery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1263.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90744","description":"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":30.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hereditary breast cancer–related disorders, targeted mRNA sequence analysis panel (13 genes) (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0131U","description":"Hereditary breast cancer–related disorders, targeted mRNA sequence analysis panel (13 genes) (List separately in addition to code for primary procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":781.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":781.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Physician Review, Interpretation And Patient Management Of Home Inr Te","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0250","description":"Physician Review, Interpretation And Patient Management Of Home Inr Te","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":13.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Airway resistance by oscillometry","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"94728","description":"Airway resistance by oscillometry","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":19.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":40.28,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":59.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transfer bench, heavy duty, for tub or toilet with or without commode opening","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0248","description":"Transfer bench, heavy duty, for tub or toilet with or without commode opening","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":184.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":184.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, Wound - Medium, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2CB31","description":"Early - Institutional, Wound - Medium, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Placement Of Occlusive Device Into Either a Venous Or Arterial Access","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0269","description":"Placement Of Occlusive Device Into Either a Venous Or Arterial Access","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BHLU","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76641","description":"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":161.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":55.12,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":106.53,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Npo (Nothing By Mouth) Ordered","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"6020F","description":"Npo (Nothing By Mouth) Ordered","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc prac mgmt pt opt alterna","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9059","description":"Onc prac mgmt pt opt alterna","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BHMS","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,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":"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90655","description":"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":23.73,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electrical Stimulation, (Unatteded), To One Or More Areas, For Wound","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0282","description":"Electrical Stimulation, (Unatteded), To One Or More Areas, For Wound","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, specialty joystick handle for hand control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2323","description":"Power wheelchair accessory, specialty joystick handle for hand control","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":80.81,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.08,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81500","description":"Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":286.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":286.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":286.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":286.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient considered to be potentially at risk for fracture in a weight-bearing site (NUC_MED)1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3572F","description":"Patient considered to be potentially at risk for fracture in a weight-bearing site (NUC_MED)1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion, subcutaneous cardiac rhythm monitor, including programming","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33285","description":"Insertion, subcutaneous cardiac rhythm monitor, including programming","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7153.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ADs, anys of 8 IgG autoantibodies and 2 cell-bound comp actv prdcts using ELISA, flow cytometry and ind IF, serum/plasma and whole blood, ind comp w/algo SLE-likelihood AX","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0312U","description":"ADs, anys of 8 IgG autoantibodies and 2 cell-bound comp actv prdcts using ELISA, flow cytometry and ind IF, serum/plasma and whole blood, ind comp w/algo SLE-likelihood AX","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":924.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enterotomy, Small Bowel, Non-Duodenum; Decompression","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44021","description":"Enterotomy, Small Bowel, Non-Duodenum; Decompression","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1495.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Myeloperoxidase (Mpo)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83876","description":"Myeloperoxidase (Mpo)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":55.95,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC Breast Cancer Stage I: T1c (tumor size > 1cm to 2 cm), documented (ONC)1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3374F","description":"AJCC Breast Cancer Stage I: T1c (tumor size > 1cm to 2 cm), documented (ONC)1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Postpartum (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58605","description":"Ligation/Transection, Fallopian Tube, Abd/Vaginal Approach, Postpartum (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":494.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pressure Pad Alternating Pum","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0182","description":"Pressure Pad Alternating Pum","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":241.52,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":241.52,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"TLSO 2 piece rigid shell","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0491","description":"TLSO 2 piece rigid shell","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":881.97,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":716.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Singl Visn Sphere 7.12-20.00","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2102","description":"Singl Visn Sphere 7.12-20.00","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Shoulder Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23065","description":"Bx, Soft Tissue, Shoulder Area; Superficial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":329.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thrombolysis, Cerebral, Iv Infusion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37195","description":"Thrombolysis, Cerebral, Iv Infusion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":281.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flexor Tendon Repair/Advance, Not In Zone 2 No Man's Land; Prim/Second W/O Free Graft, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26350","description":"Flexor Tendon Repair/Advance, Not In Zone 2 No Man's Land; Prim/Second W/O Free Graft, Each Tendon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1063.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1063.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3BFMV","description":"Late Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Tumor, Soft Tissue of Upper Arm or Elbow Area, Subcutaneous; 3 cm or greater","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24071","description":"Excision, Tumor, Soft Tissue of Upper Arm or Elbow Area, Subcutaneous; 3 cm or greater","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":619.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood Count; Complete Cbc, Automated (Hgb, Hct, Rbc, Wbc, & Platelet) & Automated Differential Wbc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.55,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.55,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Small disposable underpad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T4542","description":"Small disposable underpad","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":0.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Skin pro/pos wc cus wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2607","description":"Skin pro/pos wc cus wd <22in","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":250.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":250.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":25.06,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services; case management","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0006","description":"Alcohol and/or drug services; case management","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"fee schedule","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"fee schedule","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"fee schedule","negotiated_rate":34.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"}]}]},{"negotiation_arrangement":"ffs","name":"Cncr stg docÆd as metast & rvwd b/4 thxpy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3301F","description":"Cncr stg docÆd as metast & rvwd b/4 thxpy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0506T","description":"Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with interpretation and report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":257.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pain management (opioid-use disorder) genotyping panel, 16 common variants, buccal swab or other germline tissue sample, algorithm reported as pos/neg risk of opioid-use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0078U","description":"Pain management (opioid-use disorder) genotyping panel, 16 common variants, buccal swab or other germline tissue sample, algorithm reported as pos/neg risk of opioid-use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":450.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0077U","description":"Immunoglobulin paraprotein (M-protein), qualitative, immunoprecipitation and mass spectrometry, blood or urine, including isotype","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Speech generating device, digitized speech, using pre-recorded messages, over 40 min.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2506","description":"Speech generating device, digitized speech, using pre-recorded messages, over 40 min.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":315.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":3155.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3155.9,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":707.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endoscopic Eval, Small Intestinal Pouch; W/Bx, Single/Multiple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44386","description":"Endoscopic Eval, Small Intestinal Pouch; W/Bx, Single/Multiple","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":429.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Entamoeba histolytica group","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87337","description":"Entamoeba histolytica group","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Tumor, Soft Tissue of Back or Flank, Subfascial (eg, Intramuscular); 5 cm or greater","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21933","description":"Excision, Tumor, Soft Tissue of Back or Flank, Subfascial (eg, Intramuscular); 5 cm or greater","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1128.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Permanent Epicardial Pacemaker/Electrodes, Thoracotomy; Single Lead System","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33236","description":"Removal, Permanent Epicardial Pacemaker/Electrodes, Thoracotomy; Single Lead System","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1203.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Shoulder Area; Deep","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23066","description":"Bx, Soft Tissue, Shoulder Area; Deep","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":843.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical Closure Tracheostomy/Fistula; W/Plastic Repair","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31825","description":"Surgical Closure Tracheostomy/Fistula; W/Plastic Repair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":905.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Creation, Distal Arteriovenous Fistula, Lower Extremity Bypass (Non-Hemodialysis)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35686","description":"Creation, Distal Arteriovenous Fistula, Lower Extremity Bypass (Non-Hemodialysis)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":249.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Parathyroidectomy/Exploration, Parathyroid(S); Re-Exploration","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60502","description":"Parathyroidectomy/Exploration, Parathyroid(S); Re-Exploration","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1968.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Swingaway, detachable footrests, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0052","description":"Swingaway, detachable footrests, replacement only, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.91,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":89.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":8.99,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22224","description":"Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2430.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp3 hd mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0862","description":"PWC gp3 hd mult pow opt s/b","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7166.94,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1241.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":7166.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia (Includes Mesh Insertion, When Performed); Reducible","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49656","description":"Laparoscopy, Surgical, Repair, Recurrent Incisional Hernia (Includes Mesh Insertion, When Performed); Reducible","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1407.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Medial Canthopexy (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21280","description":"Medial Canthopexy (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":861.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26561","description":"Repair, Syndactyly (Web Finger) Each Web Space; W/Skin Flaps & Grafts","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1396.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endoscopic Eval, Small Intestinal Pouch; Dx, W/Wo Specimen(S), Brushing/Washing (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44385","description":"Endoscopic Eval, Small Intestinal Pouch; Dx, W/Wo Specimen(S), Brushing/Washing (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":287.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endo Knee-Shin Hydral Swg Ph","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5814","description":"Endo Knee-Shin Hydral Swg Ph","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4273.41,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3473.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":406.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suction Pump Portab Hom Modl","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0600","description":"Suction Pump Portab Hom Modl","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":442.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":442.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":986.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":986.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":442.78,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":62.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":986.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam; Upper Extremity, Infant, 2+ Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73092","description":"Radiologic Exam; Upper Extremity, Infant, 2+ Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":41.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal and replacement of permanent cardiac contractility modulation system pulse generator only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0414T","description":"Removal and replacement of permanent cardiac contractility modulation system pulse generator only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":673.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Skilled services of a registered nurse (RN) for the observation and assessment of the patient's condition, each 15 minutes.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0493","description":"Skilled services of a registered nurse (RN) for the observation and assessment of the patient's condition, each 15 minutes.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Platelet Survival Study","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78191","description":"Platelet Survival Study","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":213.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":45.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":259.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Soft Tissue, Neck/Thorax","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21550","description":"Bx, Soft Tissue, Neck/Thorax","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":396.97,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":396.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"health-related quality of life not assessed with tool during at least 2 visits or quality of life score declined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9636","description":"health-related quality of life not assessed with tool during at least 2 visits or quality of life score declined","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transperineal Placement of Needles or Catheters into Prostate for Interstitial Radioelement Application, w/wo Cystoscopy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55875","description":"Transperineal Placement of Needles or Catheters into Prostate for Interstitial Radioelement Application, w/wo Cystoscopy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1167.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"BP not performed/doc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8478","description":"BP not performed/doc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, MMTA - Respiratory - High, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3LC31","description":"Late - Community, MMTA - Respiratory - High, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision/Fulguration; Skene's Glands","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53270","description":"Excision/Fulguration; Skene's Glands","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":313.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intraoral – periapical radiographic image – image capture only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0707","description":"Intraoral – periapical radiographic image – image capture only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Galactose","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82760","description":"Galactose","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.32,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":12.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, pemetrexed (Hospira), not therapeutically equivalent to J9305, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9294","description":"Injection, pemetrexed (Hospira), not therapeutically equivalent to J9305, 10 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Screening Mammography, bilateral (2 view study of each breast), including computer-aided detection (CAD) when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77067","description":"Screening Mammography, bilateral (2 view study of each breast), including computer-aided detection (CAD) when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":204.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":55.65,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":148.4,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient; 2 key comp; the presenting problem(s) are of low to moderate severity; 15 minutes spent with patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9487","description":"Remote in-home visit for the evaluation and management of a new patient; 2 key comp; the presenting problem(s) are of low to moderate severity; 15 minutes spent with patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":55.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Procedure, External Ear","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69399","description":"Unlisted Procedure, External Ear","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extensor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26415","description":"Extensor Tendon Excision, Implantation Synthetic Rod, Delayed Tendon Graft, Hand/Finger, Each Rod","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1018.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Term dev, sport/rec/work att","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6704","description":"Term dev, sport/rec/work att","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":734.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Urine Incontinence Typified (eg Freq, Vol, Etc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1091F","description":"Urine Incontinence Typified (eg Freq, Vol, Etc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mobility D/C status","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8980","description":"Mobility D/C status","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transposition &/Or Reimplantation; Carotid To Subclavian Artery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35695","description":"Transposition &/Or Reimplantation; Carotid To Subclavian Artery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1619.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion of Epicardial Electrode(s); Open Incision (Eg, Thoracotomy, Median Sternotomy, Subxiphoid Approach)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33202","description":"Insertion of Epicardial Electrode(s); Open Incision (Eg, Thoracotomy, Median Sternotomy, Subxiphoid Approach)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1191.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CATEGORY II; NEONATAL CARE (MHN #)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99422","description":"CATEGORY II; NEONATAL CARE (MHN #)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.42,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":55.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22548","description":"Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3015.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tumor, Soft Tissue, Neck/Thorax","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21557","description":"Radical Resection, Tumor, Soft Tissue, Neck/Thorax","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1464.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1464.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laryngectomy; total, without radical neck dissection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31360","description":"Laryngectomy; total, without radical neck dissection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3202.79,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":3202.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Calprotectin, Fecal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83993","description":"Calprotectin, Fecal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":21.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision, Transvenous Intrahepatic Portosystemic Shunt(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37183","description":"Revision, Transvenous Intrahepatic Portosystemic Shunt(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":8725.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tumor, Bone, Femur/Knee","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27365","description":"Radical Resection, Tumor, Bone, Femur/Knee","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3156.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Level I - Surgical Pathology, Gross Exam Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88300","description":"Level I - Surgical Pathology, Gross Exam Only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6.89,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":17.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Cellesta Cord, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4214","description":"Cellesta Cord, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"AJCC colon cancer, Stage 0, documented (ONC)1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3382F","description":"AJCC colon cancer, Stage 0, documented (ONC)1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Metatarsophalangeal Joint Dislocation; Requiring Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28635","description":"Closed Treatment, Metatarsophalangeal Joint Dislocation; Requiring Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":267.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"DermaBind FM, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4313","description":"DermaBind FM, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3520.69,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Estradiol","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Acupuncture, One Or More Needles, Without Electrical Stimulation; Init 15 Min Personal Contact With The Patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97810","description":"Acupuncture, One Or More Needles, Without Electrical Stimulation; Init 15 Min Personal Contact With The Patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"negotiated","negotiated_rate":54.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"}]}]},{"negotiation_arrangement":"ffs","name":"Therapeutic Radiology Port Film(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77417","description":"Therapeutic Radiology Port Film(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":16.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":29.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Vasectomy, Unilat/Bilat, W/Postoperative Semen Exam (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55250","description":"Vasectomy, Unilat/Bilat, W/Postoperative Semen Exam (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":584.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - Surgical Aftercare - High, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2GC31","description":"Early - Institutional, MMTA - Surgical Aftercare - High, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma not sent from the pathologist/dermatopathologist to the biopsying clinician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9786","description":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma not sent from the pathologist/dermatopathologist to the biopsying clinician","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Palatal/Maxillary Fx (Lefort I Type), W/Fixation/Splint","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21421","description":"Closed Treatment, Palatal/Maxillary Fx (Lefort I Type), W/Fixation/Splint","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1287.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87389","description":"HIV-1 antigen(s), with HIV-1 and Hiv-2 antibodies, single result","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":26.49,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":26.49,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":26.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Case Management, Each 15 Minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"T1016","description":"Case Management, Each 15 Minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.84,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":44.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"fee schedule","negotiated_rate":44.84,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"}]}]},{"negotiation_arrangement":"ffs","name":"Parenteral nutrition solution, not otherwise specified, 10 grams lipids","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4185","description":"Parenteral nutrition solution, not otherwise specified, 10 grams lipids","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4563","description":"Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1570.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Subq Injection, Filling Matl; 5.1 To 10.0 Cc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11952","description":"Subq Injection, Filling Matl; 5.1 To 10.0 Cc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":187.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Psychiatric disorders or disturbances assessed (Prkns)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3700F","description":"Psychiatric disorders or disturbances assessed (Prkns)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66184","description":"Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1178.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Physician Care of Critical Patient During Transport; Ea Addl 30 Min","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99467","description":"Physician Care of Critical Patient During Transport; Ea Addl 30 Min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":183.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AHP2","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CHPT","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystourethroscopy; W/Resection/Fulguration, Orthotopic Ureterocele(S), Unilat/Bilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52300","description":"Cystourethroscopy; W/Resection/Fulguration, Orthotopic Ureterocele(S), Unilat/Bilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":430.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring, evaluation of 65 common drugs by LC-MS/MS, urine, each drug reported detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0093U","description":"Prescription drug monitoring, evaluation of 65 common drugs by LC-MS/MS, urine, each drug reported detected or not detected","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Amnio Wound, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4181","description":"Amnio Wound, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Phenylketones, Qualitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84035","description":"Phenylketones, Qualitative","negotiated_rates":[{"provider_references":[1],"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":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Objective measurement of adherence to positive airway pressure therapy not performed, reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8855","description":"Objective measurement of adherence to positive airway pressure therapy not performed, reason not otherwise specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Prost cancer rsk recur not knwn/not low û high","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3274F","description":"Prost cancer rsk recur not knwn/not low û high","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Surgical site infection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9312","description":"Surgical site infection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Glucose Monitoring, 72 Hrs, Cont Rec & Storage, Glucose Values, Interstitial Tissue Fluid, Sq Sensor","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95250","description":"Glucose Monitoring, 72 Hrs, Cont Rec & Storage, Glucose Values, Interstitial Tissue Fluid, Sq Sensor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":261.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":261.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pulse Generator; Dual Lead System","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33228","description":"Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pulse Generator; Dual Lead System","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":542.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Destruction, Anal Lesion(S), Simple; Surgical Excision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"46922","description":"Destruction, Anal Lesion(S), Simple; Surgical Excision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":403.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AHMV","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion, Intraocular Lens Prosthesis (Secondary Implant) (No Concurrent Cataract Removal)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66985","description":"Insertion, Intraocular Lens Prosthesis (Secondary Implant) (No Concurrent Cataract Removal)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1156.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Plastic Repair, Canaliculi","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68700","description":"Plastic Repair, Canaliculi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":907.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Obstetrics, kinase insert domain receptor (KDR), Endoglin (ENG), and retinol-binding protein 4 (RBP4), by immunoassay, serum, algorithm reported as a risk score","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0390U","description":"Obstetrics, kinase insert domain receptor (KDR), Endoglin (ENG), and retinol-binding protein 4 (RBP4), by immunoassay, serum, algorithm reported as a risk score","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":70.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antplt med disch","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8579","description":"Antplt med disch","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision of Rectal Tumor, Transanal Approach; Not Including Muscularis Propria (ie, Partial Thickness)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45171","description":"Excision of Rectal Tumor, Transanal Approach; Not Including Muscularis Propria (ie, Partial Thickness)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":920.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Crown - Porcelain Fused To High Noble Metal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6750","description":"Crown - Porcelain Fused To High Noble Metal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1011.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Molecular Cytogenetics; Chromosomal In Situ Hybridization, 10-30 Cells","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"88273","description":"Molecular Cytogenetics; Chromosomal In Situ Hybridization, 10-30 Cells","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.29,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":38.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Bx, Epididymis, Needle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54800","description":"Bx, Epididymis, Needle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":204.05,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":204.05,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Detachable Arms","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1060","description":"Wheelchair Detachable Arms","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2716.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2716.33,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":167.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AGKV","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"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":"0219T","description":"Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1938.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Referral to physical, occupational, speech, or recreational therapy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0042","description":"Referral to physical, occupational, speech, or recreational therapy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Atrial Septectomy/Septostomy; Open Heart W/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33736","description":"Atrial Septectomy/Septostomy; Open Heart W/Cardiopulmonary Bypass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2170.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Trimalleolar Ankle Fx, Medial/Lateral Malleolus; W/O Fixation Posterior Lip","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27822","description":"Open Treatment, Trimalleolar Ankle Fx, Medial/Lateral Malleolus; W/O Fixation Posterior Lip","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1307.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ak 4 Bar Link W/Fric Swing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5611","description":"Ak 4 Bar Link W/Fric Swing","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1680.86,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2067.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients with a positive hepatitis c antibody test","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9202","description":"Patients with a positive hepatitis c antibody test","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tenotomy, Elbow, Lateral or Medial; Debridement, Soft Tissue and/or Bone, Open with Tendon Repair or Reattachment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24359","description":"Tenotomy, Elbow, Lateral or Medial; Debridement, Soft Tissue and/or Bone, Open with Tendon Repair or Reattachment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1002.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64420","description":"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":166.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flex Thermoplastic Collar Mo","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0130","description":"Flex Thermoplastic Collar Mo","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":216.56,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":176.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BFL2","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Organic Acid, Single, Quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83921","description":"Organic Acid, Single, Quantitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.33,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":23.33,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Lightweight Det A","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1088","description":"Wheelchair Lightweight Det A","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3248.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3248.64,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":205.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care plan oversight. For use only in a Medicare-approved CMMI model.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2014","description":"Limited (30 minutes) care plan oversight. For use only in a Medicare-approved CMMI model.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":139.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1CFLX","description":"Early Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5AFKT","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Comprehensive Orthodontic Treatment Of The Transitional Dentition","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D8070","description":"Comprehensive Orthodontic Treatment Of The Transitional Dentition","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5593.17,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BGM6","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"gastric emptying imaging study with small bowel and colon transit, multiple days","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78266","description":"gastric emptying imaging study with small bowel and colon transit, multiple days","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":652.43,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":80.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":732.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PDGFRA gene analysis, targeted sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81314","description":"PDGFRA gene analysis, targeted sequence analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":362.46,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":362.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHLW","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nasal Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8040","description":"Nasal Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2338.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2876.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Quantitative HER2 Immunohistochemistry (IHC) evaluation of breast cancer consistent with the scoring system defined in the ASCO/CAP guidelines (PATH)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3394F","description":"Quantitative HER2 Immunohistochemistry (IHC) evaluation of breast cancer consistent with the scoring system defined in the ASCO/CAP guidelines (PATH)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Placement of stent into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance, balloon dilation, catheter exchange, catheter removal when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47538","description":"Placement of stent into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance, balloon dilation, catheter exchange, catheter removal when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6485.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":6485.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Doc of med reason(s) for not performing lipid prof (e.g., patients with palliative goals or for whom tx of hypertension with standard tx goals is not clinically appropriate)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8768","description":"Doc of med reason(s) for not performing lipid prof (e.g., patients with palliative goals or for whom tx of hypertension with standard tx goals is not clinically appropriate)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Back pain as meas by VAS/NPS at 9-15 mos post-op was <= 3.0/back pain measured by the VAS/NPS w/in 3 mos pre-op & 9-15 mos) post-op demonstrated an improv of 5.0 pts =/<","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2138","description":"Back pain as meas by VAS/NPS at 9-15 mos post-op was <= 3.0/back pain measured by the VAS/NPS w/in 3 mos pre-op & 9-15 mos) post-op demonstrated an improv of 5.0 pts =/<","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Venous thromboembolism (vte) prophylaxis was not administered the day of or the day after hospital admission, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9200","description":"Venous thromboembolism (vte) prophylaxis was not administered the day of or the day after hospital admission, reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, ustekinumab-ttwe (Pyzchiva), subcutaneous, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9996","description":"Injection, ustekinumab-ttwe (Pyzchiva), subcutaneous, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Aprotonin, 10,000 kiu","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0365","description":"Aprotonin, 10,000 kiu","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reconstruction, Stabilization, Distal Ulna/Radioulnar Joint, Secondary, Soft Tissue Stabilization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25337","description":"Reconstruction, Stabilization, Distal Ulna/Radioulnar Joint, Secondary, Soft Tissue Stabilization","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1355.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminectomy, Bx/Excision, Intraspinal Neoplasm; Extradural, Cervical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63275","description":"Laminectomy, Bx/Excision, Intraspinal Neoplasm; Extradural, Cervical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2787.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pneumocystis jiroveci pneumonia prophlaxis prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9221","description":"Pneumocystis jiroveci pneumonia prophlaxis prescribed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteoplasty, Femur; Combined, Lengthening & Shortening W/Femoral Segment Transfer","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27468","description":"Osteoplasty, Femur; Combined, Lengthening & Shortening W/Femoral Segment Transfer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2053.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Neuroma; Digital Nerve, One/Both, Same Digit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64776","description":"Excision, Neuroma; Digital Nerve, One/Both, Same Digit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":590.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33903","description":"Percutaneous pulmonary artery revascularization by stent placement, initial; abnormal connections, bilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1567.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures.","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29822","description":"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":863.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":863.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CGPU","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 5,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Health behavior intervention, individual, face-to-face; initial 30 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96158","description":"Health behavior intervention, individual, face-to-face; initial 30 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":134.67,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Fem Urinary Collect Dev Cup","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4327","description":"Fem Urinary Collect Dev Cup","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":60.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"OCCLUSAL GUARD - HARD APPLIANCE, PARTIAL ARCH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D9946","description":"OCCLUSAL GUARD - HARD APPLIANCE, PARTIAL ARCH","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":224.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection Proc, Shoulder Arthrography/Enhanced Ct/Mri Shoulder Arthrography","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23350","description":"Injection Proc, Shoulder Arthrography/Enhanced Ct/Mri Shoulder Arthrography","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":196.1,"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 exam, moderate medical decision making, and 10 min+ of medical discussion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98014","description":"SAV for the E&M of an established patient, which requires a medically appropriate history and/or exam, moderate medical decision making, and 10 min+ of medical discussion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":176.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza Virus Vaccine, Live, Intranasal Use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90660","description":"Influenza Virus Vaccine, Live, Intranasal Use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.87,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":28.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9596","description":"Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1121.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy, Soft Tissue, Upper Arm/Elbow Area; Superficial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24065","description":"Biopsy, Soft Tissue, Upper Arm/Elbow Area; Superficial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":387.43,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":387.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Continuous in-person monitoring and intervention, as needed, during psychedelic medication therapy; first physician or other qualified health care professional, each hour","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0820T","description":"Continuous in-person monitoring and intervention, as needed, during psychedelic medication therapy; first physician or other qualified health care professional, each hour","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":278.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hematology (genetic platelet function disorder), genomic sequence analysis of 40 genes and duplication/deletion of PLAU, blood, buccal swab, or amniotic fluid","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0277U","description":"Hematology (genetic platelet function disorder), genomic sequence analysis of 40 genes and duplication/deletion of PLAU, blood, buccal swab, or amniotic fluid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":668.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic examination, abdomen; 3 or more views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"74021","description":"Radiologic examination, abdomen; 3 or more views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.45,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":24.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":78.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam; Calcaneus, 2+ Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73650","description":"Radiologic Exam; Calcaneus, 2+ Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":40.28,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":28.09,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"I intend to report the multiple chronic condition measures group","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9669","description":"I intend to report the multiple chronic condition measures group","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of an established patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement Model, which re","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9487","description":"Remote in-home visit for the evaluation and management of an established patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement Model, which re","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.12,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":55.12,"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":"G0914","description":"Patient care survey was not completed by patient","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical; W/Bilat Total Pelvic Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38571","description":"Laparoscopy, Surgical; W/Bilat Total Pelvic Lymphadenectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1025.02,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Blood Count; Hematocrit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85014","description":"Blood Count; Hematocrit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Reduction Forehead; Contouring Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21137","description":"Reduction Forehead; Contouring Only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1060.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, retifanlimab-dlwr, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9345","description":"Injection, retifanlimab-dlwr, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0559T","description":"Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Dislocating Peroneal Tendons; W/Fibular Osteotomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27676","description":"Repair, Dislocating Peroneal Tendons; W/Fibular Osteotomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":923.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Tympanoplasty W/Mastoidectomy; W/O Ossicle Reconstruction","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69641","description":"Tympanoplasty W/Mastoidectomy; W/O Ossicle Reconstruction","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1577.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 2, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AFK2","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 2, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Partial Excision, Bone, Clavicle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23180","description":"Partial Excision, Bone, Clavicle","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1007.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Vitreous Substitute, Pars Plana/Limbal Approach, W/Wo Aspiration (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67025","description":"Injection, Vitreous Substitute, Pars Plana/Limbal Approach, W/Wo Aspiration (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1088.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiologic Exam; Tibia & Fibula, Two Views","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"73590","description":"Radiologic Exam; Tibia & Fibula, Two Views","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":12.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":30.21,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":42.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"One CT scan or no CT scan of the paranasal sinuses ordered within 90 days after the date of diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9354","description":"One CT scan or no CT scan of the paranasal sinuses ordered within 90 days after the date of diagnosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Implanted Material, Anterior Segment, Eye","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65920","description":"Removal, Implanted Material, Anterior Segment, Eye","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1183.49,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"oShaving Skin Lesion, Trunk/Arms/Legs; Diameter > 2.0 Cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11303","description":"oShaving Skin Lesion, Trunk/Arms/Legs; Diameter > 2.0 Cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AHNT","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Corplex, per sq c","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4232","description":"Corplex, per sq c","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":130.11,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drainable Pch W Ex Wear Barr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4388","description":"Drainable Pch W Ex Wear Barr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5.95,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.95,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, adalimumab-aaty, biosimilar, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5141","description":"Injection, adalimumab-aaty, biosimilar, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Abduction Bar-Straight","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2310","description":"Abduction Bar-Straight","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":180.46,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":146.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Powered Air Flotation Bed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0193","description":"Powered Air Flotation Bed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":878.88,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Parotid Tumor/Parotid Gland; Total, W/Unilat Radical Neck Dissection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42426","description":"Excision, Parotid Tumor/Parotid Gland; Total, W/Unilat Radical Neck Dissection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2063.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Slipped Femoral Epiphysis; Osteotomy & Int Fixation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27181","description":"Open Treatment, Slipped Femoral Epiphysis; Osteotomy & Int Fixation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1952.52,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Aspiration and/or Injection, Thyroid Cyst","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60300","description":"Aspiration and/or Injection, Thyroid Cyst","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":178.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminoplasty, Cerv, W Decompression Of Spinal Cord, 2 Or > Verteb Segments; W Reconstruction Of Posterior Bony Elements","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63051","description":"Laminoplasty, Cerv, W Decompression Of Spinal Cord, 2 Or > Verteb Segments; W Reconstruction Of Posterior Bony Elements","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2638.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pros Sock Single Ply Upper L","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8485","description":"Pros Sock Single Ply Upper L","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.87,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2, Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AGL3","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2, Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Limited Orthodontic Treatment Of The Transitional Dentition","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D8020","description":"Limited Orthodontic Treatment Of The Transitional Dentition","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1333.78,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sealant - Per Tooth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D1351","description":"Sealant - Per Tooth","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Community, Behavioral Health - Medium, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3FB21","description":"Late - Community, Behavioral Health - Medium, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BHM5","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hysterotomy, Abdominal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59100","description":"Hysterotomy, Abdominal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1199.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious disease, path-specific nucleic acid (DNA/RNA), 22 targets including SARS-CoV-2, qualitative RT-PCR, nasopharyngeal swab, each path reported as detected/not deteted","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0223U","description":"Infectious disease, path-specific nucleic acid (DNA/RNA), 22 targets including SARS-CoV-2, qualitative RT-PCR, nasopharyngeal swab, each path reported as detected/not deteted","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":458.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Microsurgical techniques, requiring use of operating microscope","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69990","description":"Microsurgical techniques, requiring use of operating microscope","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":340.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"UE triple control harness","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6677","description":"UE triple control harness","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":341.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Onc dx NHL trans to lg Bcell","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9120","description":"Onc dx NHL trans to lg Bcell","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Suture, Small Intestine; Multiple Perforations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44603","description":"Suture, Small Intestine; Multiple Perforations","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2492.06,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Incision & Retrieval Subq Cranial Bone Graft For Cranioplasty","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62148","description":"Incision & Retrieval Subq Cranial Bone Graft For Cranioplasty","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":198.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92622","description":"Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Robt lin-radsurg fractx 2-5","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0340","description":"Robt lin-radsurg fractx 2-5","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1330.48,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0118","description":"Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion, Implantable Intra-Arterial Infusion Pump","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36260","description":"Insertion, Implantable Intra-Arterial Infusion Pump","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":979.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Monitoring of intraocular pressure for 24 hours or longer, unilateral or bilateral, with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0329T","description":"Monitoring of intraocular pressure for 24 hours or longer, unilateral or bilateral, with interpretation and report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":154.93,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Fb, Foot; Deep","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28192","description":"Removal, Fb, Foot; Deep","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":717.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Sperm Isolation; Complex Prep, For Insemination/Diagnosis W/Semen Analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89261","description":"Sperm Isolation; Complex Prep, For Insemination/Diagnosis W/Semen Analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Death did not occur 30 days post procedure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9817","description":"Death did not occur 30 days post procedure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Professional services, initial visit, for the administration of anti-infective or other intravenous infusion drug or biological for each administration calendar day in home","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0088","description":"Professional services, initial visit, for the administration of anti-infective or other intravenous infusion drug or biological for each administration calendar day in home","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":392.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":392.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pessary, reusable, rubber, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4561","description":"Pessary, reusable, rubber, any type","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8001","description":"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":144.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":117.3,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Blood pressure recorded during inpatient stays, emergency room visits, urgent care visits, and patient self-reported BP's (home and health fair BP results)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9789","description":"Blood pressure recorded during inpatient stays, emergency room visits, urgent care visits, and patient self-reported BP's (home and health fair BP results)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ophthalmic ultrasound, diagnostic; quantitative A-scan only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76511","description":"Ophthalmic ultrasound, diagnostic; quantitative A-scan only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":152.64,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":72.61,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":80.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"}]}]},{"negotiation_arrangement":"ffs","name":"Hip Flex Inner Socket Ext Fr","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5643","description":"Hip Flex Inner Socket Ext Fr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1702.29,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":2094.29,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5BFKS","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 2, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, W/Insertion, Urethral Stent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52282","description":"Cystourethroscopy, W/Insertion, Urethral Stent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":516.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Antibody Identification, Rbc Antibodies, Each Panel, Each Serum Technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86870","description":"Antibody Identification, Rbc Antibodies, Each Panel, Each Serum Technique","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":57.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pretreatment, Serum, Use In Rbc Antibody Identification; Dilution","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86976","description":"Pretreatment, Serum, Use In Rbc Antibody Identification; Dilution","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.24,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":46.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical; Gastrostomy, W/O Construction Of Gastric Tube (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43653","description":"Laparoscopy, Surgical; Gastrostomy, W/O Construction Of Gastric Tube (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":878.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Epididymectomy; Unilat","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54860","description":"Epididymectomy; Unilat","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":640.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient had two eligible encounters at least 90 days apart or one eligible encounter and one HIV viral load test at least 90 days apart","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9247","description":"Patient had two eligible encounters at least 90 days apart or one eligible encounter and one HIV viral load test at least 90 days apart","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Safety concerns screening not provided, reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9925","description":"Safety concerns screening not provided, reason not otherwise specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lens Sphcy Bifocal 4.00d/4.2","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"V2205","description":"Lens Sphcy Bifocal 4.00d/4.2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":76.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laparoscopy, Surgical, Ablation 1+ Liver Tumor(S); Cryosurgical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47371","description":"Laparoscopy, Surgical, Ablation 1+ Liver Tumor(S); Cryosurgical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1905.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, pandemic formulation, split virus, preservative free, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90666","description":"Influenza virus vaccine, pandemic formulation, split virus, preservative free, for intramuscular use","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal Of Torus Mandibularis","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7473","description":"Removal Of Torus Mandibularis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":401.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Thyroglossal Duct Cyst/Sinus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60280","description":"Excision, Thyroglossal Duct Cyst/Sinus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":672.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BFK5","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Immune Globulin","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90399","description":"Unlisted Immune Globulin","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High risk recurrence prostate cancer","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8465","description":"High risk recurrence prostate cancer","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteopathic Manipulative Treatment (Omt); 7-8 Body Regions Involved","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98928","description":"Osteopathic Manipulative Treatment (Omt); 7-8 Body Regions Involved","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":109.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Glucose monitoring of interstitial tissue fluid via a subcutaneous sensor, min of 72 hrs; placement, hook-up, calibration, patient training, removal and printout of recording","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95250","description":"Glucose monitoring of interstitial tissue fluid via a subcutaneous sensor, min of 72 hrs; placement, hook-up, calibration, patient training, removal and printout of recording","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":261.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":261.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"PWC gp 3 hd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0851","description":"PWC gp 3 hd cap chair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6001.96,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1039.68,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":6001.96,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lymphocytotoxicity Assay, Visual Crossmatch; W/O Titration","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86806","description":"Lymphocytotoxicity Assay, Visual Crossmatch; W/O Titration","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.35,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":52.35,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Revitalon, per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4157","description":"Revitalon, per square centimeter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Motor speech functional limitation, current status at therapy episode outset and at reporting intervals","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8999","description":"Motor speech functional limitation, current status at therapy episode outset and at reporting intervals","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Knee-Shin Exo Fluid Swing Ph","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5724","description":"Knee-Shin Exo Fluid Swing Ph","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1882.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BFMT","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Brst Imag-Rprtng & Data Sys assess cat 0 docÆd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3340F","description":"Brst Imag-Rprtng & Data Sys assess cat 0 docÆd","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4026","description":"Cast supplies, hip spica (one or both legs), adult (11 years +), fiberglass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":143.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Technetium TC-99m auto WBC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9569","description":"Technetium TC-99m auto WBC","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1953.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chlordiazepoxide Injection","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1990","description":"Chlordiazepoxide Injection","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":37.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection of Tumor (eg, Malignant Neoplasm), Soft Tissue of Face or Scalp; 2 cm or greater","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21016","description":"Radical Resection of Tumor (eg, Malignant Neoplasm), Soft Tissue of Face or Scalp; 2 cm or greater","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1557.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Blood Vessel W/Vein Graft; Intra-Abdominal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35251","description":"Repair Blood Vessel W/Vein Graft; Intra-Abdominal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2653.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5AHK5","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Osteotomy - Mandibular Rami","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7941","description":"Osteotomy - Mandibular Rami","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7808.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Distal Femoral Epiphyseal Separation, W/Wo Int/Ext Fix","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27519","description":"Open Treatment, Distal Femoral Epiphyseal Separation, W/Wo Int/Ext Fix","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1362.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"I intend to report the chronic obstructive pulmonary disease measures group","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8898","description":"I intend to report the chronic obstructive pulmonary disease measures group","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Femoral Supracondylar/Transcondylar Fx W/Intercondylar Extension, W/Wo Int/Ext Fix","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27513","description":"Open Treatment, Femoral Supracondylar/Transcondylar Fx W/Intercondylar Extension, W/Wo Int/Ext Fix","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1895.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Initial Comprehensive Preventive Medicine E&M W/Hx/Exam, New Pt; 65+ Yr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","description":"Initial Comprehensive Preventive Medicine E&M W/Hx/Exam, New Pt; 65+ Yr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":246.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Outpatient Intravenous Insulin Treatment (OIVIT) either pulsatile or continuous, by any means, guided by the results of measurements for:á respiratory quotient; and/or, urine","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9147","description":"Outpatient Intravenous Insulin Treatment (OIVIT) either pulsatile or continuous, by any means, guided by the results of measurements for:á respiratory quotient; and/or, urine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bypass Graft, W/Vein; Subclavian-Axillary","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35516","description":"Bypass Graft, W/Vein; Subclavian-Axillary","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1892.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient spent greater than or equal to three days in hospice care","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9861","description":"Patient spent greater than or equal to three days in hospice care","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cocoon Membrane, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4264","description":"Cocoon Membrane, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":372.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92273","description":"Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.83,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":160.62,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":228.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"ORION, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4276","description":"ORION, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":261.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Determination, Venous Pressure","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93770","description":"Determination, Venous Pressure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.22,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.46,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":12.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32408","description":"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1501.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":1501.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatitis B virus (HBV) status not assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy, reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9913","description":"Hepatitis B virus (HBV) status not assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy, reason not otherwise specified","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bronchoscopy, Rigid/Flexible; W/Therapeutic Aspiration/Tracheobronchial Tree, Initial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31645","description":"Bronchoscopy, Rigid/Flexible; W/Therapeutic Aspiration/Tracheobronchial Tree, Initial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":384.25,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, Behavioral Health - Low, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2FA21","description":"Early - Institutional, Behavioral Health - Low, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Qualified nonphysician healthcare professional online assessment and management service, established patient, for up to 7 days, cumulative time during the 7 days; 11-20 min","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2062","description":"Qualified nonphysician healthcare professional online assessment and management service, established patient, for up to 7 days, cumulative time during the 7 days; 11-20 min","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.53,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"hereditary neuroendocrine tumor disorders; genomic sequence analysis panel, must include sequencing of at least 6 genes, including MAX, SDHB, SDHC, SDHD, TMEM127, and VHL, dup","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81438","description":"hereditary neuroendocrine tumor disorders; genomic sequence analysis panel, must include sequencing of at least 6 genes, including MAX, SDHB, SDHC, SDHD, TMEM127, and VHL, dup","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":438.93,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":883.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tonsil, Tonsillar Pillars, &/Or Retromolar Trigone; Closure W/Local Flap","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"42844","description":"Radical Resection, Tonsil, Tonsillar Pillars, &/Or Retromolar Trigone; Closure W/Local Flap","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2148.09,"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; 25 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9985","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; 25 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":214.64,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, head control or extremity control interface, electronic, proportional","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2328","description":"Power wheelchair accessory, head control or extremity control interface, electronic, proportional","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10796.56,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":5854.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":581.92,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Ft Arch Suprt Premold Longit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3040","description":"Ft Arch Suprt Premold Longit","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.04,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":43.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectmy; W/Radical Dissection, Debulking","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58952","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bso & Omentectmy; W/Radical Dissection, Debulking","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2513.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":2513.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Manganese","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83785","description":"Manganese","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":29.32,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intra-Atrial Pacing","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93610","description":"Intra-Atrial Pacing","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":139.65,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":252.81,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"fee schedule","negotiated_rate":1.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Fluoroscopic Guidance and Localization of Needle or Catheter Tip for Spine or Paraspinous Injection Procedures","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77003","description":"Fluoroscopic Guidance and Localization of Needle or Catheter Tip for Spine or Paraspinous Injection Procedures","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":95.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":45.05,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":140.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":140.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":95.93,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFMU","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Wheelchair Spec Sz Semi-Recl","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1225","description":"Wheelchair Spec Sz Semi-Recl","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":505.3,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":514.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":46.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Tenolysis, Flexor Tendon; Palm/Finger, Each Tendon","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26440","description":"Tenolysis, Flexor Tendon; Palm/Finger, Each Tendon","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":923.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Biopsy external ear","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69100","description":"Biopsy external ear","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":151.58,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"No reop req bld grft oth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8578","description":"No reop req bld grft oth","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Monteggia Type, Fx Dislocation, Elbow, W/Wo Int/Ext Fixation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24635","description":"Open Treatment, Monteggia Type, Fx Dislocation, Elbow, W/Wo Int/Ext Fixation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1023.43,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"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":"0607T","description":"Remote monitoring of an external continuous pulmonary fluid monitoring system, including measurement of radiofrequency-derived pulmonary fluid levels, heart rate, respiration","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Behavioral health counseling and therapy, per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0004","description":"Behavioral health counseling and therapy, per 15 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"fee schedule","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"fee schedule","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"fee schedule","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Carpal Bone Fx (Excluding Carpal Scaphoid); W/O Manipulation, Each Bone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25630","description":"Closed Treatment, Carpal Bone Fx (Excluding Carpal Scaphoid); W/O Manipulation, Each Bone","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":460.04,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Treatment, Articular Fx, Mcp/Ip Joint; W/Manipulation, Each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26742","description":"Closed Treatment, Articular Fx, Mcp/Ip Joint; W/Manipulation, Each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":556.5,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"placement of stent(s) into a bile duct, percuraneous, including diagnostic cholangiography imaging guidance, balloon dilation, catheter exchanges and catheter removal(s) when","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47538","description":"placement of stent(s) into a bile duct, percuraneous, including diagnostic cholangiography imaging guidance, balloon dilation, catheter exchanges and catheter removal(s) when","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":6485.61,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":6485.61,"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, with video","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95724","description":"Electroencephalogram (EEG), continuous recording, physician review, analysis of spike and seizure detection, complete study; >60 hrs, up to 84 hrs of EEG recording, with video","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":603.59,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Athletic training eval, low complexity, requiring: hx and physical activity profile with no comorbidities; exam of body area addressing 1-2 elements; clinical decision making","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97169","description":"Athletic training eval, low complexity, requiring: hx and physical activity profile with no comorbidities; exam of body area addressing 1-2 elements; clinical decision making","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":98.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Venous Anastomosis, Open; Splenorenal, Distal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37181","description":"Venous Anastomosis, Open; Splenorenal, Distal","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3308.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ped term dev, hook, vol open","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6711","description":"Ped term dev, hook, vol open","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":773.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Embolectomy/Thrombectomy; Renal/Celiac/Mesentery/Aortoiliac Artery, Abdominal Incision","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"34151","description":"Embolectomy/Thrombectomy; Renal/Celiac/Mesentery/Aortoiliac Artery, Abdominal Incision","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2176.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Proctoplasty; Stenosis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45500","description":"Proctoplasty; Stenosis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":799.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endovenous Ablation Therapy Of Incompetent Vein, Extremity, Percutaneous, Laser; First Vein Treated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36478","description":"Endovenous Ablation Therapy Of Incompetent Vein, Extremity, Percutaneous, Laser; First Vein Treated","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1807.3,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"documentation of reason for not detecting adenoma(s) or other neoplasm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9496","description":"documentation of reason for not detecting adenoma(s) or other neoplasm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9687","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if perfor","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81465","description":"Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if perfor","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1029.6,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":1029.6,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Test Socket Hemipelvectomy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5628","description":"Test Socket Hemipelvectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":576.03,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":708.65,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revision Mastoidectomy; Resulting In Radical Mastoidectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69603","description":"Revision Mastoidectomy; Resulting In Radical Mastoidectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1919.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"AmnioPlast 2, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4335","description":"AmnioPlast 2, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Laminotmy W/Partl Facetect/Foramnotmy/Hern Diskect, Re-Expl, Sngl Intrspc; Each Add'l Cerv Intrspc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63043","description":"Laminotmy W/Partl Facetect/Foramnotmy/Hern Diskect, Re-Expl, Sngl Intrspc; Each Add'l Cerv Intrspc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":174.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Photochemotherapy, 4-8 Hr, Direct Supervision, Physician","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96913","description":"Photochemotherapy, 4-8 Hr, Direct Supervision, Physician","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":193.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bx Of Penis; (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54100","description":"Bx Of Penis; (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":299.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":299.98,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ureteral Endoscopy Through Ureterotomy; W/Ureteral Catheterization W/Wo Dilation, Ureter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50972","description":"Ureteral Endoscopy Through Ureterotomy; W/Ureteral Catheterization W/Wo Dilation, Ureter","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":549.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exploration, Not Followed, Surgical Repair, W/Wo Arteriolysis; Popliteal Artery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35741","description":"Exploration, Not Followed, Surgical Repair, W/Wo Arteriolysis; Popliteal Artery","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":793.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ed svc CKD grp per session","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0421","description":"Ed svc CKD grp per session","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":37.63,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"34712","description":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg, anchor, screw, tack) and all associated radiological supervision and interpretation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1157.89,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"No re-exploration needed for mediastinal bleeding, coronary intervention, valve dysfunction, aortic reintervention, or other cardiac issue","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8578","description":"No re-exploration needed for mediastinal bleeding, coronary intervention, valve dysfunction, aortic reintervention, or other cardiac issue","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99453","description":"Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer), DNA, PIK3CA gene analysis (utilizing formalin-fixed paraffin-embedded breast tumor tissue, reported as PIK3CA gene mutation status","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0155U","description":"Oncology (breast cancer), DNA, PIK3CA gene analysis (utilizing formalin-fixed paraffin-embedded breast tumor tissue, reported as PIK3CA gene mutation status","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":302.31,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2178","description":"Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply, high density foam roll for bandage, per linear yd, any width, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6602","description":"Gradient compression bandaging supply, high density foam roll for bandage, per linear yd, any width, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Phosphatase, Alkaline","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84075","description":"Phosphatase, Alkaline","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":5.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Orbitotomy W/O Bone Flap; W/Drainage Only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67405","description":"Orbitotomy W/O Bone Flap; W/Drainage Only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1188.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Kafo Fem Fx Cast Semi-Rigid","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2134","description":"Kafo Fem Fx Cast Semi-Rigid","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":904.48,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1112.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Biofeedback Training, Any Modality","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90901","description":"Biofeedback Training, Any Modality","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":55.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFL1","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AFNS","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracotomy, Major; W/Excision-Plication, Bullae, W/Wo Any Pleural Proc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32141","description":"Thoracotomy, Major; W/Excision-Plication, Bullae, W/Wo Any Pleural Proc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2338.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Int Anastomosis, Pancreatic Cyst To Gi Tract; Roux-En-Y","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"48540","description":"Int Anastomosis, Pancreatic Cyst To Gi Tract; Roux-En-Y","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2013.47,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AGLX","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"POV group 1 std up to 300 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0800","description":"POV group 1 std up to 300 lbs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":990.47,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":990.47,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":99.04,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Humeral Supracondylar/Transcondylar Fx; W/O Intercondylar Extension","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24545","description":"Open Treatment, Humeral Supracondylar/Transcondylar Fx; W/O Intercondylar Extension","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1416.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patient interviewed directly by evaluating clinician on or before date of diagnosis of major depressive disorder (MDD AD","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2060F","description":"Patient interviewed directly by evaluating clinician on or before date of diagnosis of major depressive disorder (MDD AD","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hepatitis B screening in non-pregnant, high risk indiv incl hepatitis B surface antigen, a neutralizing confirmatory test, antibodies to HBSAG and hepatitis B core antigen","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0499","description":"Hepatitis B screening in non-pregnant, high risk indiv incl hepatitis B surface antigen, a neutralizing confirmatory test, antibodies to HBSAG and hepatitis B core antigen","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.1,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":31.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":31.1,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":31.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oxy Suppl Heater For Nebuliz","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1372","description":"Oxy Suppl Heater For Nebuliz","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.67,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":156.7,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":156.7,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Proton Treatment Delivery; Simple W/Compensation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77522","description":"Proton Treatment Delivery; Simple W/Compensation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1690.76,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":838.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"2 or more antipsychotic RX's ordered for PT's w/dx of schizophrenia, schizoaffective, bipolar  on or btwn Jan 1 of year prior to  meas period/ the IPSD for antipsychotics","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0032","description":"2 or more antipsychotic RX's ordered for PT's w/dx of schizophrenia, schizoaffective, bipolar  on or btwn Jan 1 of year prior to  meas period/ the IPSD for antipsychotics","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Extremity","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35860","description":"Exploration, Postoperative Hemorrhage, Thrombosis/Infection; Extremity","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1302.21,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11310","description":"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":171.72,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":171.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lightweight Wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0003","description":"Lightweight Wheelchair","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":40.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":40.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":40.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":648.51,"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 5,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CFP4","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 1,Service Severity Level 5,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, Sinus Tract; Dx (Sinogram)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20501","description":"Injection, Sinus Tract; Dx (Sinogram)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":177.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Slitting, Prepuce, Dorsal/Lateral (Sep Proc); Except Newborn","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"54001","description":"Slitting, Prepuce, Dorsal/Lateral (Sep Proc); Except Newborn","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":279.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intraoperative Radiation Treatment Management","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77469","description":"Intraoperative Radiation Treatment Management","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":483.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"pupal regeneration - interim medication replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D3356","description":"pupal regeneration - interim medication replacement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":218.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application, Body Cast, Shoulder To Hips; W/Both Thighs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29046","description":"Application, Body Cast, Shoulder To Hips; W/Both Thighs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":395.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Esophagec total/near w/thoraco upper/middle/lower medias esophagus w/sep laparo proximal gast w/laparoscopic pyloric drainage proc perform w/open cerv pharyngog/esophagog","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43288","description":"Esophagec total/near w/thoraco upper/middle/lower medias esophagus w/sep laparo proximal gast w/laparoscopic pyloric drainage proc perform w/open cerv pharyngog/esophagog","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6687.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Nephrology (diabetic CKD), multiplex ECLIA of sTNFR1, sTNFR2, and KIM-1) combined w/clinical data/plasma/algorithm reported as risk for prog decline in kidney function","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0407U","description":"Nephrology (diabetic CKD), multiplex ECLIA of sTNFR1, sTNFR2, and KIM-1) combined w/clinical data/plasma/algorithm reported as risk for prog decline in kidney function","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1045.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ureteral Endoscopy Through Ureterostomy; W/Fulguration &/Or Incision W/Wo Bx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50957","description":"Ureteral Endoscopy Through Ureterostomy; W/Fulguration &/Or Incision W/Wo Bx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":655.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthrodesis, Carpometacarpal Joint, Thumb, W/Wo Int Fixation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26841","description":"Arthrodesis, Carpometacarpal Joint, Thumb, W/Wo Int Fixation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1084.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3710","description":"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":133.09,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":108.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Unplanned return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9308","description":"Unplanned return to the operating room for a surgical procedure, for complications of the principal operative procedure, within 30 days of the principal operative procedure","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Thoracoscopy, Surgical; W/Esophagomyotomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"32665","description":"Thoracoscopy, Surgical; W/Esophagomyotomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1894.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chondroitin B Sulfate, Quantitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82485","description":"Chondroitin B Sulfate, Quantitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":22.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Revascularization, Endovasc, Open Or Percut, Tibial/Peroneal Artery, Unilat, Ea Addl Vessel; W Transluminal Angioplasty","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37232","description":"Revascularization, Endovasc, Open Or Percut, Tibial/Peroneal Artery, Unilat, Ea Addl Vessel; W Transluminal Angioplasty","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1782.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Patients using hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9688","description":"Patients using hospice services any time during the measurement period","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Migration Inhibitory Factor Test (Mif)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86378","description":"Migration Inhibitory Factor Test (Mif)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AHNX","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 4,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - Endocrine - Low, Comorbidity = 0","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4IA11","description":"Late - Institutional, MMTA - Endocrine - 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":"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33949","description":"Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management, each day, veno-arterial","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":360.4,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Glucose; Blood, Reagent Strip","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82948","description":"Glucose; Blood, Reagent Strip","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.54,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ustekinumab, for intravenous injection, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3358","description":"Ustekinumab, for intravenous injection, 1 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Health & Behavior Intervention, Ea 15 Minutes; Family (W/Patient Present)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96154","description":"Health & Behavior Intervention, Ea 15 Minutes; Family (W/Patient Present)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":29.15,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64474","description":"Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":417.97,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Craniotomy W/Elevation, Bone Flap; Transection, Corpus Callosum","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61541","description":"Craniotomy W/Elevation, Bone Flap; Transection, Corpus Callosum","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3359.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"UnlisteUnlisted Procedure, External Eard Proc, Ext Ear","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69399","description":"UnlisteUnlisted Procedure, External Eard Proc, Ext Ear","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AFN4","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Transcochlear Approach To Posterior Cranial Fossa/Jugular Foramen/Midline Skull Base","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61596","description":"Transcochlear Approach To Posterior Cranial Fossa/Jugular Foramen/Midline Skull Base","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3731.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Intravenous infusion, casirivimab and imdevimab includes infusion and post administration monitoring in the home or residence","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0244","description":"Intravenous infusion, casirivimab and imdevimab includes infusion and post administration monitoring in the home or residence","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1509.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Fb, Intraocular; Posterior Segment, Magnetic Extraction, Ant/Post Route","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65260","description":"Removal, Fb, Intraocular; Posterior Segment, Magnetic Extraction, Ant/Post Route","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1442.66,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1442.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Endoscopic Retrograde Cholangiopancreatography; W/Sphincterotomy/Papillotomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43262","description":"Endoscopic Retrograde Cholangiopancreatography; W/Sphincterotomy/Papillotomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":557.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection, eculizumab, 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1299","description":"Injection, eculizumab, 2 mg","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.77,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pancreatectomy, Total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"48155","description":"Pancreatectomy, Total","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2790.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism National Imaging Associates, as defined by the Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G1005","description":"Clinical Decision Support Mechanism National Imaging Associates, as defined by the Medicare Appropriate Use Criteria Program","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64617","description":"Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":271.36,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clinician  documented reason patient was not able to complete 7 day follow-up from acute inpatient setting discharge (i.e patient death prior to follow-up visit, patient non-c","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9406","description":"Clinician  documented reason patient was not able to complete 7 day follow-up from acute inpatient setting discharge (i.e patient death prior to follow-up visit, patient non-c","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CGMV","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 2,Service Severity Level 3,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis – bitewing radiographic image – image capture only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0388","description":"intraoral tomosynthesis – bitewing radiographic image – image capture only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.82,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Laceration; Cornea &/Or Sclera, Perforating, W/Reposition/Resection, Uveal Tissue","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65285","description":"Repair, Laceration; Cornea &/Or Sclera, Perforating, W/Reposition/Resection, Uveal Tissue","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1665.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Twist Drill Hole, Subdural/Ventricular Puncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61105","description":"Twist Drill Hole, Subdural/Ventricular Puncture","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":684.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mastoidectomy; Complete","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69502","description":"Mastoidectomy; Complete","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1479.76,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Severing Adhesions, Anterior Segment, Eye, Incisional (Sep Proc); Anterior Synechiae","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65870","description":"Severing Adhesions, Anterior Segment, Eye, Incisional (Sep Proc); Anterior Synechiae","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":887.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage Abscess/Hematoma, Nasal, Internal Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30000","description":"Drainage Abscess/Hematoma, Nasal, Internal Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":343.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":343.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Ectropion; Thermocauterization","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67915","description":"Repair, Ectropion; Thermocauterization","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":436.72,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 6, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4AGKX","description":"Late Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 6, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2AGK5","description":"Early Episode, 14-19 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid batter, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"K0733","description":"Power wheelchair accessory, 12 to 24 amp hour sealed lead acid batter, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":3.5,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":34.98,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Division, Plantar Fascia & Muscle (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28250","description":"Division, Plantar Fascia & Muscle (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":884.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Pyelotomy; W/Removal, Calculus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50130","description":"Pyelotomy; W/Removal, Calculus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1580.46,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Craniofacial & Maxillofacial Proc","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21299","description":"Unlisted Craniofacial & Maxillofacial Proc","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion Of Intravascular Vena Cava Filter, Endovascular Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37191","description":"Insertion Of Intravascular Vena Cava Filter, Endovascular Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3852.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cell Count, Miscellaneous Body Fluids, Except Blood","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89050","description":"Cell Count, Miscellaneous Body Fluids, Except Blood","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.19,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":5.19,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hemoglobin; Methemoglobin, Qualitative","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83045","description":"Hemoglobin; Methemoglobin, Qualitative","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":7.14,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Oligoclonal Immunoglobulin (Oligoclonal Bands)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83916","description":"Oligoclonal Immunoglobulin (Oligoclonal Bands)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.13,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":30.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BFM1","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 3,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Clotting; Factor Xiii (Fibrin Stabilizing), Screen Solubility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85291","description":"Clotting; Factor Xiii (Fibrin Stabilizing), Screen Solubility","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":10.02,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45388","description":"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4820.88,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 2, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AHLT","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 3,Service Severity Level 2,Supply Severity Level 2, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Interprofessional telehealth AX/mgmt by a phys or other QHP,incl. verbal and written rprt to pt's treating/requesting phys or other QHP; 21-30 min. dsc/rvw","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99448","description":"Interprofessional telehealth AX/mgmt by a phys or other QHP,incl. verbal and written rprt to pt's treating/requesting phys or other QHP; 21-30 min. dsc/rvw","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":100.81,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bk Waist Belt Padded And Lin","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5690","description":"Bk Waist Belt Padded And Lin","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":124.4,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":101.11,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"reflectance confocal microscopy for cellular and sub-cellular imaging of skin; interpretation and report only, each additional lesion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96936","description":"reflectance confocal microscopy for cellular and sub-cellular imaging of skin; interpretation and report only, each additional lesion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":64.66,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Proc, Skin, Mucous Membrane & Subq Tissue","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17999","description":"Unlisted Proc, Skin, Mucous Membrane & Subq Tissue","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Apexification/Recalcification - Final Visit (Includes Completed Root","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D3353","description":"Apexification/Recalcification - Final Visit (Includes Completed Root","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":404.87,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 6, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"5AHK6","description":"Early or Late Episode, 20+ therapies,Clinical Severity Level 1,Functional Severity Level 3,Service Severity Level 1,Supply Severity Level 6, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; traction, mechanical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97012","description":"Application of a modality to 1 or more areas; traction, mechanical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Symptoms Demonstrated Clinically Important Deterioration Since Last Assessment (Hf)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1451F","description":"Symptoms Demonstrated Clinically Important Deterioration Since Last Assessment (Hf)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hereditary ovarian cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), targeted mRNA sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0132U","description":"Hereditary ovarian cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer), targeted mRNA sequence analysis panel","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":815.8,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":815.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Chest Wall Tumor W/Ribs, W/Reconstruct; W/O Mediastinal Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"19271","description":"Excision, Chest Wall Tumor W/Ribs, W/Reconstruct; W/O Mediastinal Lymphadenectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2479.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 5, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BHM5","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 5, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late - Institutional, MMTA - Respiratory - High, Comorbidity = 1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4LC21","description":"Late - Institutional, MMTA - Respiratory - High, Comorbidity = 1","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Strabismus Surgery, Prior Scarring, Extraocular Muscles/Restrictive Myopathy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67332","description":"Strabismus Surgery, Prior Scarring, Extraocular Muscles/Restrictive Myopathy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":500.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Synovial Cyst, Popliteal Space","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27345","description":"Excision, Synovial Cyst, Popliteal Space","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":728.75,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Renal Endoscopy Through Nephrostomy/Pyelostomy; W/Fulguration &/Or Incision, W/Wo Bx","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50557","description":"Renal Endoscopy Through Nephrostomy/Pyelostomy; W/Fulguration &/Or Incision, W/Wo Bx","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":640.24,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Neuropsychological testing, administered by a computer, w qualified health care professional interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96120","description":"Neuropsychological testing, administered by a computer, w qualified health care professional interpretation and report","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":72.08,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radical Resection, Tumor, Soft Tissue, Neck/Thorax; less than 5 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21557","description":"Radical Resection, Tumor, Soft Tissue, Neck/Thorax; less than 5 cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1464.39,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1464.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Probing, Nasolacrimal Duct, W/Wo Irrigation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"68810","description":"Probing, Nasolacrimal Duct, W/Wo Irrigation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":235.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Neurological with Motor >37.35 & Motor <47.75.,comorbidity in tier 3","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0602","description":"Neurological with Motor >37.35 & Motor <47.75.,comorbidity in tier 3","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.38,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cast supplies, short leg splint, adult (11 years +), plaster","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4045","description":"Cast supplies, short leg splint, adult (11 years +), plaster","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Estradiol; total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":30.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 4, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1AFK4","description":"Early Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 4, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Reinsertion, Ocular Implant; W/Reinforcement &/Or Attachment To Muscles","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65155","description":"Reinsertion, Ocular Implant; W/Reinforcement &/Or Attachment To Muscles","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1267.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Craniectomy/Craniotomy; W/Excision, Foreign body, Brain","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61570","description":"Craniectomy/Craniotomy; W/Excision, Foreign body, Brain","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2860.94,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":2860.94,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of 15 or greater)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8846","description":"Moderate or severe obstructive sleep apnea (apnea hypopnea index (ahi) or respiratory disturbance index (rdi) of 15 or greater)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Enzyme immunoassay (EIA) qualitative/semiquantitative; single step, not otherwise specified, each organism","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87450","description":"Enzyme immunoassay (EIA) qualitative/semiquantitative; single step, not otherwise specified, each organism","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Drainage Abscess/Hematoma, Nasal, Int Approach","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"30000","description":"Drainage Abscess/Hematoma, Nasal, Int Approach","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":343.44,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":343.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Arthroscopy, Temporomandibular Joint, Surgical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"29804","description":"Arthroscopy, Temporomandibular Joint, Surgical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":983.68,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Professional Svc, Allergen Immunotherapy Non-Provision Extracts; 2+ Injections","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95117","description":"Professional Svc, Allergen Immunotherapy Non-Provision Extracts; 2+ Injections","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":15.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Parenteral Sol Amino Acid 3.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B4168","description":"Parenteral Sol Amino Acid 3.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.12,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dry Pressure Pad For Mattres","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0199","description":"Dry Pressure Pad For Mattres","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":3.8,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":38.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Lateral Collateral Ligament, Elbow, W/Local Tissue","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24343","description":"Repair Lateral Collateral Ligament, Elbow, W/Local Tissue","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1075.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Trachelectomy, Radical W/Bilat Pelvic Lymphadenectomy, W/Wo Removal, Tubes/Ovary(S)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"57531","description":"Trachelectomy, Radical W/Bilat Pelvic Lymphadenectomy, W/Wo Removal, Tubes/Ovary(S)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2806.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"MR safety implant and/or foreign body assessment by trained clinical staff; each additional 30 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76015","description":"MR safety implant and/or foreign body assessment by trained clinical staff; each additional 30 minutes","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.23,"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 low level of medical decision making. Total time of the encounter, 30 min.+","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99348","description":"Home or residence visit for the E/M of an est. pt., req. a medically apt history and/or Ex and low level of medical decision making. Total time of the encounter, 30 min.+","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":126.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BFK1","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 1,Supply Severity Level 1, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Excision, Lesion, Tendon Sheath/Capsule; Foot","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"28090","description":"Excision, Lesion, Tendon Sheath/Capsule; Foot","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":719.74,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Abutment Supported Retainer For Porcelain Fused To Metal Fpd (Predominately Base Metal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6070","description":"Abutment Supported Retainer For Porcelain Fused To Metal Fpd (Predominately Base Metal)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":745.23,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exchange Abscess/Cyst Drainage Catheter, Radiologic Guidance (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49423","description":"Exchange Abscess/Cyst Drainage Catheter, Radiologic Guidance (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":822.03,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, Complex - Medium, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1DB31","description":"Early - Community, Complex - Medium, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Extraoral Incision & Drainage, Abscess/Cyst/Hematoma, Mouth Floor; Sublingual","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"41015","description":"Extraoral Incision & Drainage, Abscess/Cyst/Hematoma, Mouth Floor; Sublingual","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":700.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Mra, Spine W/Wo Contrast","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"72159","description":"Mra, Spine W/Wo Contrast","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":136.74,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":622.75,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":486.01,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Precision Attachment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6950","description":"Precision Attachment","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":336.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Angioscopy, Non-Coronary, During Therapeutic Intervention","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35400","description":"Angioscopy, Non-Coronary, During Therapeutic Intervention","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":231.61,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Obecabtagene autoleucel, 10 up to 400 million CD19 CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per infusion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2058","description":"Obecabtagene autoleucel, 10 up to 400 million CD19 CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per infusion","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38760","description":"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1292.14,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":1292.14,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Creatinine; Clearance","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82575","description":"Creatinine; Clearance","negotiated_rates":[{"provider_references":[1],"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":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Timeout to verify correct patient, correct site, and correct procedure, documented (PATH)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"6100F","description":"Timeout to verify correct patient, correct site, and correct procedure, documented (PATH)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ureteral Endoscopy Through Ureterostomy; W/Removal Fb/Calculus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50961","description":"Ureteral Endoscopy Through Ureterostomy; W/Removal Fb/Calculus","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":590.42,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Electroacoustic Evaluation, Hearing Aid; Binaural","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92595","description":"Electroacoustic Evaluation, Hearing Aid; Binaural","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":86.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Carpal Bone Fx (Excluding Carpal Scaphoid (Navicular)), Each Bone","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25645","description":"Open Treatment, Carpal Bone Fx (Excluding Carpal Scaphoid (Navicular)), Each Bone","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":857.01,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35703","description":"Exploration not followed by surgical repair, artery; lower extremity (eg, common femoral, deep femoral, superficial femoral, popliteal, tibial, peroneal)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":744.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closure, Vesicouterine Fistula","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51920","description":"Closure, Vesicouterine Fistula","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1197.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Closed Tx, Carpometacarpal Dislocation, Non-Thumb W/Manipulation, Each Joint; W/O Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"26670","description":"Closed Tx, Carpometacarpal Dislocation, Non-Thumb W/Manipulation, Each Joint; W/O Anesthesia","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":510.92,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Avulsion, Nail Plate, Partial/Complete, Simple; Add'l Nail Plate","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11732","description":"Avulsion, Nail Plate, Partial/Complete, Simple; Add'l Nail Plate","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":47.7,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation, 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":"G2171","description":"Percutaneous arteriovenous fistula creation, using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Dexamethasone Suppression Panel, 48 Hr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"80420","description":"Dexamethasone Suppression Panel, 48 Hr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":178.07,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":178.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67228","description":"Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":511.45,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Zinc paste impregnated bandage, non-elastic, knitted/woven, width 3-5 in. per yard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6456","description":"Zinc paste impregnated bandage, non-elastic, knitted/woven, width 3-5 in. per yard","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.41,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":1.71,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Auricular/Periauricular Pain Assess","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1116F","description":"Auricular/Periauricular Pain Assess","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"splint – extra-coronal; natural teeth or prosthetic crowns","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D4323","description":"splint – extra-coronal; natural teeth or prosthetic crowns","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":176.55,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24435","description":"Repair, Nonunion/Malunion, Humerus; W/Iliac/Other Autograft (Includes Obtaining Graft)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1640.35,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92286","description":"Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":33.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":33.39,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":57.77,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":24.38,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Community, Complex - Low, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1DA31","description":"Early - Community, Complex - Low, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Rad xpsr/time in last report fluoro prxd docÆd","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"6045F","description":"Rad xpsr/time in last report fluoro prxd docÆd","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"door to puncture time of less than 2 hours","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9580","description":"door to puncture time of less than 2 hours","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Removal, Corneal Epithelium; W/Application, Chelating Agent","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65436","description":"Removal, Corneal Epithelium; W/Application, Chelating Agent","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":581.41,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Each Additional Prefabricated Post, Same Tooth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D2957","description":"Each Additional Prefabricated Post, Same Tooth","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":148.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Speech generating device, digitized speech, using pre-recorded messages, 8-20 min.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2502","description":"Speech generating device, digitized speech, using pre-recorded messages, 8-20 min.","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1631.59,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":163.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"},{"negotiated_type":"fee schedule","negotiated_rate":1631.59,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Pure tone audiometry (threshold), automated (includes use of computer-assisted device); air only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0208T","description":"Pure tone audiometry (threshold), automated (includes use of computer-assisted device); air only","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exploration, Retroperitoneal Area W/Wo Bx(S) (Sep Proc)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49010","description":"Exploration, Retroperitoneal Area W/Wo Bx(S) (Sep Proc)","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1434.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion, Graft, Aorta/Great Vessels; W/O Shunt/Cardiopulmonary Bypass","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33330","description":"Insertion, Graft, Aorta/Great Vessels; W/O Shunt/Cardiopulmonary Bypass","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2197.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oral evaluation, pt < 3yrs","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D0145","description":"Oral evaluation, pt < 3yrs","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.22,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Renal Allotransplantation, Implantation, Graft; W/O Donor & Recipient Nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"50360","description":"Renal Allotransplantation, Implantation, Graft; W/O Donor & Recipient Nephrectomy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":3710.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2BGKW","description":"Early Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 2,Service Severity Level 1,Supply Severity Level 5, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early - Institutional, MMTA - Endocrine - Medium, Comorbidity = 2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"2IB31","description":"Early - Institutional, MMTA - Endocrine - Medium, Comorbidity = 2","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Psychosis, depression, anxiety, apathy, and impulse control disorder assessed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G2121","description":"Psychosis, depression, anxiety, apathy, and impulse control disorder assessed","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (solid organ), trgtd genomic seq ansys, FFPE tissue, DNA anys, 84+ genes, for seq var, gene copy no. amp, gene rearrangements, microsatellite instability and T mut","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0334U","description":"Oncology (solid organ), trgtd genomic seq ansys, FFPE tissue, DNA anys, 84+ genes, for seq var, gene copy no. amp, gene rearrangements, microsatellite instability and T mut","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3850.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Resection, Ovarian/Tubal/Primary Malignancy W/Bilateral salpingo-ophorectomy & Omentectmy; W/Radical Dissection, Debulking","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"58952","description":"Resection, Ovarian/Tubal/Primary Malignancy W/Bilateral salpingo-ophorectomy & Omentectmy; W/Radical Dissection, Debulking","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2513.26,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"negotiated","negotiated_rate":2513.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1BHPS","description":"Early Episode, 0-13 therapies,Clinical Severity Level 2,  Functional Severity Level 3,Service Severity Level 5,Supply Severity Level 1, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Bone scan not done b/4 txmnt/aftr diag prst cncr","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3270F","description":"Bone scan not done b/4 txmnt/aftr diag prst cncr","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Shoe Lifts Tapered To One-Ha","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3332","description":"Shoe Lifts Tapered To One-Ha","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":84.69,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":68.85,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"}]}]},{"negotiation_arrangement":"ffs","name":"Infectious Agent Antigen Detection By Immunofluorescent Technique; Pneumocystis Carinii","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87281","description":"Infectious Agent Antigen Detection By Immunofluorescent Technique; Pneumocystis Carinii","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,Service Severity Level 3,Supply Severity Level 1, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3CHMS","description":"Late Episode, 0-13 therapies,Clinical Severity Level 3,  Functional Severity Level 3,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":"Arthroscopy - Surgical: Debridement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D7877","description":"Arthroscopy - Surgical: Debridement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2063.9,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":2063.9,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Open Treatment, Scapular Fx, W/Wo Internal Fixation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23585","description":"Open Treatment, Scapular Fx, W/Wo Internal Fixation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1494.07,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Lipid Panel Doc Rev","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3011F","description":"Lipid Panel Doc Rev","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Radiof trsmtr implt scrl neu","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8684","description":"Radiof trsmtr implt scrl neu","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":928.38,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Ambulatory Surgical Boot Eac","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3260","description":"Ambulatory Surgical Boot Eac","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":119.58,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":22.51,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 3, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AFNU","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 1,Service Severity Level 4,Supply Severity Level 3, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Repair Lip, Full Thickness; > One-Half Vertical Height/Complex","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"40654","description":"Repair Lip, Full Thickness; > One-Half Vertical Height/Complex","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":870.79,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Unlisted Musculoskeletal Proc, Dx Nuclear Medicine","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78399","description":"Unlisted Musculoskeletal Proc, Dx Nuclear Medicine","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"At least one body temp measurement = 35.5 degrees C (or 95.9 degrees F) achieved w/n the 30 min immediately before or 15 min immediately after anesthesia end time","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9771","description":"At least one body temp measurement = 35.5 degrees C (or 95.9 degrees F) achieved w/n the 30 min immediately before or 15 min immediately after anesthesia end time","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Alcohol And/Or Drug Services","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0004","description":"Alcohol And/Or Drug Services","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"fee schedule","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"},{"negotiated_type":"fee schedule","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HF"},{"negotiated_type":"fee schedule","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":56.73,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"HG"}]}]},{"negotiation_arrangement":"ffs","name":"Cochlear implant, external speech processor, component, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8627","description":"Cochlear implant, external speech processor, component, replacement","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7973.91,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":7973.91,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Impression & Custom Preparation; Nasal Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"21087","description":"Impression & Custom Preparation; Nasal Prosthesis","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2837.62,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gradient compression garment, lower leg and foot, padded, for nighttime use, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6524","description":"Gradient compression garment, lower leg and foot, padded, for nighttime use, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":362.39,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Oncology (lung), three protein biomarkers, immunoassay using magnetic nanosensor technology, plasma, algorithm reported as risk score for likelihood of malignancy","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0092U","description":"Oncology (lung), three protein biomarkers, immunoassay using magnetic nanosensor technology, plasma, algorithm reported as risk score for likelihood of malignancy","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2736.8,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Peritoneal-Venous Shunt Patency Test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78291","description":"Peritoneal-Venous Shunt Patency Test","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":331.78,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"},{"negotiated_type":"negotiated","negotiated_rate":64.66,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"26"},{"negotiated_type":"negotiated","negotiated_rate":396.44,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Hydrogel Dsg>16<=48 Sq In","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6232","description":"Hydrogel Dsg>16<=48 Sq In","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.63,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":9.37,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Insertion, Ocular Implant Secondary; After Enucleation, Muscles Attached To Implant","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65140","description":"Insertion, Ocular Implant Secondary; After Enucleation, Muscles Attached To Implant","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":1209.99,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 4, supplies provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"3AGLV","description":"Late Episode, 0-13 therapies,Clinical Severity Level 1, Functional Severity Level 2,Service Severity Level 2,Supply Severity Level 4, supplies provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"CSIT perf sx or high CHD rsk","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8966","description":"CSIT perf sx or high CHD rsk","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Gross Pulpal Debridement, Primary And Permanent Teeth","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D3221","description":"Gross Pulpal Debridement, Primary And Permanent Teeth","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":202.13,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Androstanediol Glucuronide","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82154","description":"Androstanediol Glucuronide","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.71,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":31.71,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"TC"}]}]},{"negotiation_arrangement":"ffs","name":"Inlay - Cast High Noble Metal, Three Or More Surfaces","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"D6603","description":"Inlay - Cast High Noble Metal, Three Or More Surfaces","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":631.56,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"High risk recurrence pro ca","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G8465","description":"High risk recurrence pro ca","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 3, supplies not provided","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"4BFL3","description":"Late Episode, 14-19 therapies,Clinical Severity Level 2,  Functional Severity Level 1,Service Severity Level 2,Supply Severity Level 3, supplies not provided","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Flotufolastat F-18, diagnostic, 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9608","description":"Flotufolastat F-18, diagnostic, 1 mCi","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":700.85,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Irrigation supply; sleeve, reusable, per month","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4436","description":"Irrigation supply; sleeve, reusable, per month","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.16,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Cystourethroscopy W/Ureteroscopy; W/Treatment Ureteropelvic Junction Stricture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52345","description":"Cystourethroscopy W/Ureteroscopy; W/Treatment Ureteropelvic Junction Stricture","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":605.26,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Replantation, Foot, Complete Amputation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20838","description":"Replantation, Foot, Complete Amputation","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":4118.1,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"At least one body temp measurement = 35.5° C (or 95.9°F) not achieved w/n 30 min immediately before or 15 min immediately after anesthesia end time, reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9773","description":"At least one body temp measurement = 35.5° C (or 95.9°F) not achieved w/n 30 min immediately before or 15 min immediately after anesthesia end time, reason not given","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"percentage","negotiated_rate":70.0,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38228","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":539.34,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Total Disc Arthroplasty, Anterior Approach, Including Discectomy with End Plate Preparation, Single Interspace, Cervical","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"22856","description":"Total Disc Arthroplasty, Anterior Approach, Including Discectomy with End Plate Preparation, Single Interspace, Cervical","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":2523.86,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Power wheelchair accessory, 22nf sealed lead acid battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2361","description":"Power wheelchair accessory, 22nf sealed lead acid battery, each","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":131.75,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"NU"},{"negotiated_type":"fee schedule","negotiated_rate":131.75,"expiration_date":"9999-12-31","billing_class":"institutional"},{"negotiated_type":"fee schedule","negotiated_rate":13.18,"expiration_date":"9999-12-31","billing_class":"institutional","billing_code_modifier":"RR"}]}]},{"negotiation_arrangement":"ffs","name":"Artacent wound, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4169","description":"Artacent wound, per sq cm","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2220.57,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Injection Procedure for Radiopharmaceutical Localization by Non-Imaging Probe Study, Intravenous","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"78808","description":"Injection Procedure for Radiopharmaceutical Localization by Non-Imaging Probe Study, Intravenous","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":67.84,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]},{"negotiation_arrangement":"ffs","name":"Exchange Transfusion, Blood; Newborn","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36450","description":"Exchange Transfusion, Blood; Newborn","negotiated_rates":[{"provider_references":[1],"negotiated_prices":[{"negotiated_type":"negotiated","negotiated_rate":286.2,"expiration_date":"9999-12-31","billing_class":"institutional"}]}]}],"provider_references":[{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215262738],"tin":{"type":"ein","value":"261780585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043398407],"tin":{"type":"ein","value":"204591376"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528193042],"tin":{"type":"ein","value":"205325228"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1902131857],"tin":{"type":"ein","value":"270943279"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023271459],"tin":{"type":"ein","value":"205575145"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1952797243],"tin":{"type":"ein","value":"473071035"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1598208183],"tin":{"type":"ein","value":"301130347"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497287775],"tin":{"type":"ein","value":"204696843"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205902525],"tin":{"type":"ein","value":"203694369"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043226178],"tin":{"type":"ein","value":"208020226"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568557684],"tin":{"type":"ein","value":"260616414"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205868817],"tin":{"type":"ein","value":"203980340"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1689623761],"tin":{"type":"ein","value":"204562526"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417257742],"tin":{"type":"ein","value":"204738173"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134276025],"tin":{"type":"ein","value":"272083406"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023568359],"tin":{"type":"ein","value":"412040765"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699906305],"tin":{"type":"ein","value":"474610817"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235176579],"tin":{"type":"ein","value":"204748673"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205152576],"tin":{"type":"ein","value":"272358620"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174739023],"tin":{"type":"ein","value":"208786792"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285650432],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1700893674],"tin":{"type":"ein","value":"203770341"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1851517999],"tin":{"type":"ein","value":"301288118"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1902072572],"tin":{"type":"ein","value":"261948511"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770257610],"tin":{"type":"ein","value":"410682405"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437233269],"tin":{"type":"ein","value":"200081302"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922548783],"tin":{"type":"ein","value":"205648026"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205868817],"tin":{"type":"ein","value":"203980340"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770805673],"tin":{"type":"ein","value":"260475097"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417192600],"tin":{"type":"ein","value":"202456812"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588651236],"tin":{"type":"ein","value":"463799343"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1972091700],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093396673],"tin":{"type":"ein","value":"262671896"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235454273],"tin":{"type":"ein","value":"271239293"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1124711841],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285625988],"tin":{"type":"ein","value":"202982423"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1447426465],"tin":{"type":"ein","value":"262512237"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1700909983],"tin":{"type":"ein","value":"826000422"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1518273465],"tin":{"type":"ein","value":"273765851"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235176579],"tin":{"type":"ein","value":"204748673"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871269324],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669512257],"tin":{"type":"ein","value":"200940213"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1508279621],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1659542223],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Ambulance (AMB)","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992844575],"tin":{"type":"ein","value":"461621786"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285706481],"tin":{"type":"ein","value":"260531635"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639126303],"tin":{"type":"ein","value":"202027375"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1760576714],"tin":{"type":"ein","value":"202995060"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205080181],"tin":{"type":"ein","value":"300474327"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922363092],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1326042078],"tin":{"type":"ein","value":"264230898"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023484615],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1790905164],"tin":{"type":"ein","value":"261485288"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1780604306],"tin":{"type":"ein","value":"134310888"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114110947],"tin":{"type":"ein","value":"262636087"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710247739],"tin":{"type":"ein","value":"272333127"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1841719713],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215554068],"tin":{"type":"ein","value":"043690857"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477949766],"tin":{"type":"ein","value":"472920584"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831370741],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710102959],"tin":{"type":"ein","value":"263820269"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1326701277],"tin":{"type":"ein","value":"451802753"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316615578],"tin":{"type":"ein","value":"202333409"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1255932059],"tin":{"type":"ein","value":"204333803"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1467464347],"tin":{"type":"ein","value":"800624923"}}],"network_name":["Voyager - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750160008],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174759161],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528193042],"tin":{"type":"ein","value":"205325228"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811310618],"tin":{"type":"ein","value":"820733992"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750678298],"tin":{"type":"ein","value":"452685803"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316183601],"tin":{"type":"ein","value":"202630141"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639725245],"tin":{"type":"ein","value":"455513274"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1891732905],"tin":{"type":"ein","value":"363525049"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205823416],"tin":{"type":"ein","value":"421640098"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639362742],"tin":{"type":"ein","value":"260528775"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245449099],"tin":{"type":"ein","value":"611903931"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750616249],"tin":{"type":"ein","value":"270996353"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821096082],"tin":{"type":"ein","value":"826000431"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1891107314],"tin":{"type":"ein","value":"826000419"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831135581],"tin":{"type":"ein","value":"010708714"}}],"network_name":["Voyager - OR Specialist Type","Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962430116],"tin":{"type":"ein","value":"204870192"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437232139],"tin":{"type":"ein","value":"810233499"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1386602621],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134476310],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1689800666],"tin":{"type":"ein","value":"264349685"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1508857095],"tin":{"type":"ein","value":"273543997"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285625988],"tin":{"type":"ein","value":"202982423"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770847220],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962849307],"tin":{"type":"ein","value":"462810421"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114569282],"tin":{"type":"ein","value":"202388521"}}],"network_name":["St Luke (BrightPath)- PCP type","Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821120536],"tin":{"type":"ein","value":"208589549"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205130473],"tin":{"type":"ein","value":"262916543"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801841267],"tin":{"type":"ein","value":"202897489"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235759432],"tin":{"type":"ein","value":"264274557"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568557684],"tin":{"type":"ein","value":"260616414"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588802466],"tin":{"type":"ein","value":"205914560"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1760597793],"tin":{"type":"ein","value":"202167970"}}],"network_name":["St Luke Navigator (Specialist)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568143857],"tin":{"type":"ein","value":"205423923"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1356388771],"tin":{"type":"ein","value":"202410972"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497781843],"tin":{"type":"ein","value":"201709359"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1033165022],"tin":{"type":"ein","value":"301072617"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1154157386],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1225032857],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174739023],"tin":{"type":"ein","value":"208786792"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205292703],"tin":{"type":"ein","value":"201641417"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1003020066],"tin":{"type":"ein","value":"020798994"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1124769823],"tin":{"type":"ein","value":"200093403"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215262738],"tin":{"type":"ein","value":"261780585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770558975],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1578584611],"tin":{"type":"ein","value":"204425381"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821056060],"tin":{"type":"ein","value":"201386522"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Legacy+ PCP-type Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1437270097],"tin":{"type":"ein","value":"208143717"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1306207279],"tin":{"type":"ein","value":"475036414"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1790785087],"tin":{"type":"ein","value":"820497771"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619988144],"tin":{"type":"ein","value":"820146328"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134302433],"tin":{"type":"ein","value":"043742679"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053369884],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477583722],"tin":{"type":"ein","value":"200268032"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1093350266],"tin":{"type":"ein","value":"020698150"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1225637671],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1679682439],"tin":{"type":"ein","value":"202256515"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417443409],"tin":{"type":"ein","value":"200074486"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164835351],"tin":{"type":"ein","value":"332136631"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1457444119],"tin":{"type":"ein","value":"262674683"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992999775],"tin":{"type":"ein","value":"203303351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801891668],"tin":{"type":"ein","value":"113653049"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1487636825],"tin":{"type":"ein","value":"273083641"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417945627],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1629224449],"tin":{"type":"ein","value":"260835445"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205827813],"tin":{"type":"ein","value":"200997728"}}],"network_name":["Ambulance (AMB)","Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1487009635,1528271707],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750620159],"tin":{"type":"ein","value":"271789847"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649031469],"tin":{"type":"ein","value":"020762829"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235820739],"tin":{"type":"ein","value":"202077583"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1760719934],"tin":{"type":"ein","value":"271161208"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871560425],"tin":{"type":"ein","value":"201906973"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992756498],"tin":{"type":"ein","value":"203077657"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235211004],"tin":{"type":"ein","value":"271239841"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962491464],"tin":{"type":"ein","value":"208084188"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1194771881],"tin":{"type":"ein","value":"202739482"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1780959007],"tin":{"type":"ein","value":"452481484"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1407065956],"tin":{"type":"ein","value":"208049182"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1609989029],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Voyager - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1275939043],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114569282],"tin":{"type":"ein","value":"202388521"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1225865603],"tin":{"type":"ein","value":"270288886"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497146534],"tin":{"type":"ein","value":"472430266"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477593895],"tin":{"type":"ein","value":"200491027"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1861637100],"tin":{"type":"ein","value":"463754045"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205833969],"tin":{"type":"ein","value":"113729153"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528231826],"tin":{"type":"ein","value":"262343447"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1710171657],"tin":{"type":"ein","value":"208582047"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417394438],"tin":{"type":"ein","value":"203659481"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1568440295],"tin":{"type":"ein","value":"823448311"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1780088823],"tin":{"type":"ein","value":"450439149"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619173143],"tin":{"type":"ein","value":"820497771"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770987844],"tin":{"type":"ein","value":"471445763"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1053047829],"tin":{"type":"ein","value":"811264082"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205802998],"tin":{"type":"ein","value":"820226453"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1851406888],"tin":{"type":"ein","value":"820527089"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1285068023],"tin":{"type":"ein","value":"872960539"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831370741],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730655820],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1770797060],"tin":{"type":"ein","value":"020535167"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730655820],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114281284],"tin":{"type":"ein","value":"542124360"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1801931977],"tin":{"type":"ein","value":"361684106"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1528037215],"tin":{"type":"ein","value":"810231785"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669151213],"tin":{"type":"ein","value":"271361149"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1932726015],"tin":{"type":"ein","value":"451083584"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1033375092],"tin":{"type":"ein","value":"200323819"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1316294531],"tin":{"type":"ein","value":"454551946"}}],"network_name":["Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1861046328],"tin":{"type":"ein","value":"202333409"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619652526],"tin":{"type":"ein","value":"262671896"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023114378],"tin":{"type":"ein","value":"203140657"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1790898112],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649441411],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205248960],"tin":{"type":"ein","value":"201737557"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1912945544],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1083010193],"tin":{"type":"ein","value":"465444009"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - WA PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215012448],"tin":{"type":"ein","value":"208397013"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1184653461],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1033890777],"tin":{"type":"ein","value":"270288886"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871952143],"tin":{"type":"ein","value":"237088811"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1548691561],"tin":{"type":"ein","value":"010922194"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831504984],"tin":{"type":"ein","value":"134211220"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023271459],"tin":{"type":"ein","value":"205575145"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1457444119],"tin":{"type":"ein","value":"262674683"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1487636825],"tin":{"type":"ein","value":"273083641"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1952312050],"tin":{"type":"ein","value":"810241755"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245422807],"tin":{"type":"ein","value":"113815919"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235129248],"tin":{"type":"ein","value":"200448578"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1073557393],"tin":{"type":"ein","value":"810233121"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992999775],"tin":{"type":"ein","value":"203303351"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871269324],"tin":{"type":"ein","value":"383736664"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1730121401],"tin":{"type":"ein","value":"202447516"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043226178],"tin":{"type":"ein","value":"208020226"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114569282],"tin":{"type":"ein","value":"202388521"}}],"network_name":["St Luke Navigator (Specialist)","Navigator - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1114295482],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1861062390],"tin":{"type":"ein","value":"202906366"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1750391264],"tin":{"type":"ein","value":"201301674"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Smart Alliance Saint Alphonsus Area, PCP Providers"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator LEHP - OR Specialist Type (Exclude OHSU)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1396765236],"tin":{"type":"ein","value":"134231448"}}],"network_name":["Navigator LEHP - OR PCP Type (Exclude OHSU)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1821036856],"tin":{"type":"ein","value":"204572231"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1518543768],"tin":{"type":"ein","value":"205126945"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1295777274],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811258379],"tin":{"type":"ein","value":"450439149"}}],"network_name":["Oregon SmartHealth Tier 1 Network, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1265612543],"tin":{"type":"ein","value":"364617008"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023079092],"tin":{"type":"ein","value":"203166880"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639514094],"tin":{"type":"ein","value":"462349174"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1235176579],"tin":{"type":"ein","value":"204748673"}}],"network_name":["Ambulance (AMB)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1174795892],"tin":{"type":"ein","value":"910894931"}}],"network_name":["Idaho SmartHealth Tier 1 Network, PCP provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1699146456],"tin":{"type":"ein","value":"474591265"}}],"network_name":["Oregon SmartHealth Tier 1 Network, PCP Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1073248605],"tin":{"type":"ein","value":"421583605"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1245310135],"tin":{"type":"ein","value":"200202111"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1992837942],"tin":{"type":"ein","value":"342057513"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1871651281],"tin":{"type":"ein","value":"346462298"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1356517098],"tin":{"type":"ein","value":"201334650"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215262738],"tin":{"type":"ein","value":"261780585"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1003087156],"tin":{"type":"ein","value":"202068627"}}],"network_name":["St Luke Navigator (PCP)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1477877934],"tin":{"type":"ein","value":"431922598"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1255684973],"tin":{"type":"ein","value":"263494212"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1215012448],"tin":{"type":"ein","value":"208397013"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1649266040],"tin":{"type":"ein","value":"263903975"}}],"network_name":["Network Not Available Specialist (NNAYYY)"]},{"provider_group_id":1,"provider_groups":[{"npi":[1962430116],"tin":{"type":"ein","value":"204870192"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1720870595],"tin":{"type":"ein","value":"261120919"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1588029870],"tin":{"type":"ein","value":"201377401"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1306163688],"tin":{"type":"ein","value":"463563235"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1447768940],"tin":{"type":"ein","value":"201676644"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1083726053],"tin":{"type":"ein","value":"237169043"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type","Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1912945544],"tin":{"type":"ein","value":"237293874"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164412755],"tin":{"type":"ein","value":"261219605"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1811962103],"tin":{"type":"ein","value":"203802500"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1740515261],"tin":{"type":"ein","value":"270222729"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1457749475],"tin":{"type":"ein","value":"471655155"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1639109762],"tin":{"type":"ein","value":"112645333"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1922372747],"tin":{"type":"ein","value":"461048411"}}],"network_name":["Voyager - MT PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1164562930],"tin":{"type":"ein","value":"061799056"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205130473],"tin":{"type":"ein","value":"262916543"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1023079092],"tin":{"type":"ein","value":"203166880"}}],"network_name":["Voyager - ID Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1043545106],"tin":{"type":"ein","value":"270661299"}}],"network_name":["Voyager - ID PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1083703185,1699845230],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1669964789],"tin":{"type":"ein","value":"208603729"}}],"network_name":["Navigator - MT Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619696705],"tin":{"type":"ein","value":"912022850"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1497844435],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1134276025],"tin":{"type":"ein","value":"272083406"}}],"network_name":["Navigator - OR PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1720870595],"tin":{"type":"ein","value":"261120919"}}],"network_name":["Navigator - OR PCP Type","Navigator - WA PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1902372923],"tin":{"type":"ein","value":"332629431"}}],"network_name":["Navigator - MT PCP Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1144267667],"tin":{"type":"ein","value":"201128034"}}],"network_name":["Navigator - WA Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1831270768],"tin":{"type":"ein","value":"020677066"}}],"network_name":["Navigator - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1295777274],"tin":{"type":"ein","value":"263757128"}}],"network_name":["Navigator - ID PCP Type","Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1518911890],"tin":{"type":"ein","value":"203942050"}}],"network_name":["Smart Alliance Saint Alphonsus Area, Spec Provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1417906660],"tin":{"type":"ein","value":"010668275"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[1619988144],"tin":{"type":"ein","value":"820146328"}}],"network_name":["Idaho SmartHealth Tier 1 Network, Spec provs"]},{"provider_group_id":1,"provider_groups":[{"npi":[1205838075],"tin":{"type":"ein","value":"364916070"}}],"network_name":["Voyager - OR Specialist Type"]},{"provider_group_id":1,"provider_groups":[{"npi":[0],"tin":{"type":"ein","value":"000000000"}}],"network_name":["Voyager - OR PCP type"]},{"provider_group_id":1,"provider_groups":[{"npi":[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"]}]}
