{"reporting_entity_name": "Emblemhealth_GHI","reporting_entity_type": "Health Insurance Issuer","last_updated_on": "2026-10-30","version": "2.0","provider_references": [                                                                                                                                                               
{"provider_group_id":1804856463,"network_name":["HMO SelectCare Large Group Network","HMO Prime Network"],"provider_groups":[{"npi":[1023559291,1639213853,1063536787,1366148975,1679220990,1891430278,1548947484,1245993062,1396062212,1326366642,1417379165,1346239589,1346408184,1225136195,1952447641,1154537314,1750443958,1720142011,1952390015,1376047365,1033825690,1790872133,1619071271,1558562587,1033222328,1720218720,1952985491,1720484165,1427161116,1083101315,1295351443,1609005735,1326264086,1770545295,1184709255,1629435383,1053427773,1851506596,1093332652,1194714501,1316775059,1649859802,1215560271,1881785335,1194707083,1790067874,1588290746,1699892760,1730219288,1528379740,1578682092,1962492181,1235548769,1780661595,1437571411,1093108243,1629636162,1093395444,1518095405,1194051045,1295955920,1639303357,1013394220,1174755193,1831696392,1447213434,1134350176,1336368570,1477176337,1578786109,1588015259,1639597800,1689247934,1831650258,1679702575,1487385423,1669032132,1467577734,1912460189,1710064696,1033393525,1144495607,1699108563,1225245236,1093783730,1770645640,1952313918,1043690092,1710069190,1376954578,1659528982,1104940352,1558442145,1063471472,1063743458,1114266947,1013410711,1235748328,1639267057,1942263785,1174642854,1114374576,1144585605,1306092705,1710369038,1558543736,1194390096,1649484775,1770902181,1477979730,1508834649,1144665506,1841758661,1902896426,1750816476,1841695822,1275612970,1033809983,1609043850,1306478565,1578016655,1811370034,1902472285,1679679757,1558002808,1073830741,1962069484,1376293175,1407448590,1467940494,1295964203,1295808988,1740806587,1245359066,1518462449,1730628298,1730832072,1396353645,1669881546,1558720094,1386224053,1265122840,1720232143,1801246038,1689060428,1053834721,1558429233,1730829110,1346330388,1821005232,1861062762,1023671187,1104494319,1356955603,1891720280,1891962551,1629516000,1629639877,1396276879,1508242603,1710059860,1700127859,1972640050,1639866817,1407247984,1952041428,1568150159,1922623735,1194271445,1184843211,1740650340,1275507766,1508013350,1700266236,1801320965,1144333295,1598825168,1184312662,1104915230,1740771153,1073975207,1710100516,1114670205,1831570175,1487833877,1336702521,1902417264,1982193819,1699913699,1750764692,1952042871,1992358311,1841350931,1326660887,1184668162,1356420681,1164610770,1689016941,1386105427,1376865949,1881213940,1750363388,1144232877,1912599465,1942576434,1265533343,1457630923,1437171956,1386638047,1831175140,1497060438,1114532082,1144964776,1215568720,1598029142,1528057080,1295806883,1942974878,1568097806,1063743292,1124148986,1417939786,1245481498,1831296482,1417354457,1932983459,1700016508,1093273070,1669996930,1740801679,1982260071,1407978836,1821554510,1386216034,1417578089,1588701320,1386767119,1992952782,1366766354,1063581171,1073720181,1578271458,1861751224,1841467552,1407176464,1770908287,1982354296,1881919728,1982607693,1134307747,1477624989,1912153404,1962110213,1528014602,1538444773,1821194408,1093987018,1447577283,1184753048,1144451899,1659475986,1942385315,1306998356,1518601996,1396892022,1700044922,1891847653,1265507099,1376286468,1780722850,1396208864,1790123941,1629462973,1578944823,1871173245,1851432793,1821547746,1124163076,1083603419,1295357226,1881377133,1457111254,1689174872,1104082817,1467600361,1245444637,1396706412,1124246590,1922395896,1528480696,1508224155,1346021326,1548222631,1891315107,1407015035,1821404112,1093169799,1811289374,1730633678,1669508453,1457648750,1619987757,1407993603,1558571448,1841635489,1417976465,1053649541,1912988197,1457705550,1750765103,1073597902,1891776092,1124250162,1083808588,1871710632,1437653680,1750460390,1427442177,1720147739,1467659490,1205498417,1326406257,1396106738,1306405014,1194715425,1477050193,1649313891,1518588920,1689201048,1407196355,1144830100,1750904215,1306982889,1396083952,1679776306,1639338742,1932282324,1386701803,1255645297,1861533689,1447232293,1063654101,1255075529,1023050119,1437174398,1073984373,1073043402,1194995712,1265174437,1467432435,1083790794,1861470254,1558921221,1245478189,1255687877,1528064946,1770677668,1083940423,1013197292,1932510211,1053320333,1568540540,1366867210,1114063930,1184217754,1538847926,1427715432,1043820442,1326731274,1639738222,1740402684,1518458579,1922087980,1790178184,1164589107,1235381161,1679776967,1770779449,1396936159,1568778835,1164430179,1699876730,1316625619,1154572865,1598388670,1942613518,1457509465,1386123172,1457919771,1528532868,1407067044,1790432284,1235220229,1467425462,1366262370,1306407994,1992189773,1568149417,1164731345,1558053520,1992399331,1982440863,1659350080,1881434470,1790418903,1639883499,1982654760,1396842985,1508542739,1598853632,1790794808,1689729634,1225411770,1801021944,1558611558,1356488100,1801556949,1972131449,1144251570,1174621734,1588704175,1942906904,1518307743,1447817382,1508180118,1427652627,1639238306,1710196225,1497824783,1154413177,1821052317,1114955747,1619966868,1952324451,1376164426,1376098707,1821309956,1902133291,1659593762,1497746788,1649330861,1588700827,1033319066,1396090858,1740320993,1548632607,1568848596,1245281047,1477723468,1003143207,1851582233,1205079449,1538896667,1952503252,1548302417,1184864209,1598025249,1780785782,1679899348,1710976923,1346376118,1548259591,1275655623,1942472154,1376163519,1164817433,1902160062,1740718204,1659583151,1881683167,1467604363,1740642826,1215490495,1366618670,1790476117,1861615601,1720321185,1871775312,1144367947,1780855684,1609623586,1477825925,1205515293,1184360034,1922052455,1942610407,1558980375,1134515786,1245691351,1831151588,1568508208,1114012135,1508559303,1801015813,1447275235,1679663652,1306921721,1851759401,1912434523,1033772686,1245855915,1659938397,1942829551,1053979450,1922274208,1255023511,1568559870,1013678945,1881742567,1285924357,1124544325,1720338775,1013790666,1255539839,1972760296,1093499295,1619145471,1134618952,1952467334,1770019879,1144210089,1316404387,1457648552,1003008285,1841232931,1245643907,1821558966,1063813343,1871646992,1891156485,1962865022,1053937466,1750084794,1336215250,1619192473,1689823163,1730170457,1205802345,1598286452,1467038729,1881273597,1043574379,1760758262,1811397219,1528408754,1962721589,1841236502,1730467564,1467197145,1366833808,1083448807,1184008708,1952543092,1427137876,1659630432,1982375713,1760472609,1467527572,1407237001,1336595057,1104924422,1841776655,1467593426,1902098445,1609854108,1881771772,1255975884,1275799058,1184044026,1558768341,1588189682,1306446554,1427109347,1558440743,1477530079,1275753097,1972699916,1154635225,1730549551,1720272198,1609028190,1639253552,1144393828,1245536382,1194893917,1083988950,1518187152,1669403986,1831275692,1619941283,1326007667,1962583385,1346997251,1679788699,1164563300,1477529055,1336314400,1003557240,1679030464,1275897514,1477893311,1942522487,1720202708,1083172472,1083933113,1063633634,1265025795,1922280064,1578792230,1588997621,1972787059,1417368283,1285338772,1427470442,1992337497,1932685393,1841727567,1053706036,1184085524,1679735377,1487233573,1225110398,1154878767,1841525094,1235678202,1437268372,1043361488,1356870240,1689701971,1740712322,1235765710,1326482217,1629456868,1174739114,1629481288,1205007119,1235522988,1659787042,1992152631,1952676884,1902119001,1134234396,1346604360,1932541067,1144437500,1720812530,1811986557,1477840668,1316471287,1083279814,1275624777,1285719153,1437114170,1407982341,1467033274,1972822567,1386905164,1891992541,1679766646,1366070138,1780204362,1861878498,1669461638,1518057389,1215926159,1174573976,1194856872,1477051787,1982913539,1841402096,1821331166,1699054320,1154795169,1699861724,1568500999,1518002013,1659752194,1215415047,1881150688,1942870696,1477780823,1336431865,1932631884,1467653881,1447467956,1508102237,1548330608,1801901004,1750757761,1437642220,1962902478,1619955564,1023425204,1467034249,1336885383,1720139678,1235571423,1750374278,1700996287,1770152654,1174531115,1902060478,1912072166,1265110514,1194426734,1295708956,1073206207,1104226638,1962620393,1023794310,1295315554,1891970059,1295726388,1578259420,1295017754,1801302021,1881086023,1043351620,1437344751,1326221730,1124237250,1235398926,1962550079,1114250941,1659630663,1568500031,1942565965,1790030542,1366174617,1396328951,1215080429,1992757538,1225344740,1104964162,1194259259,1558701037,1295311371,1649426560,1134255607,1730717596,1679636625,1710336110,1730351685,1790242683,1538188008,1790983179,1548247117,1659585990,1497856744,1538315130,1982906525,1437656782,1871672758,1538130091,1841475761,1588288807,1598320681,1578614129,1861567745,1477638641,1558537589,1205006335,1194050930,1912311234,1932379203,1659381838,1699878777,1134147770,1972654192,1205248242,1861627564,1225211030,1255411047,1164641429,1174837322,1700951795,1932228350,1316102148,1619122751,1447590773,1548262652,1720584428,1841446309,1841501830,1225714397,1487856860,1437771961,1225107493,1629955448,1447475967,1881950053,1073568556,1003349770,1619551702,1659939163,1811644198,1841794542,1366677544,1609929009,1477749703,1831823046,1184068892,1265490148,1386760304,1619092160,1568895886,1437241908,1144312208,1417242736,1396248472,1659718138,1689068785,1992008908,1568691178,1104803840,1659362366,1760556138,1700023223,1528634433,1750402111,1053300046,1518958305,1801869631,1497996110,1568796746,1861953010,1548389349,1619957537,1053672808,1417041369,1952938490,1619124633,1831440460,1003439977,1144508979,1144656109,1427758879,1679952774,1861481863,1215557863,1912130733,1598893745,1114056553,1992005334,1205819919,1558675686,1710395421,1245856269,1740542927,1558421024,1093396509,1760161814,1215628508,1942540976,1821082314,1801537519,1811916877,1528102951,1669545612,1104183078,1841490356,1831257823,1629574314,1609082833,1851627376,1649527250,1710067129,1336396571,1720610686,1942795760,1366185761,1801887146,1477695781,1598450686,1316144116,1790965762,1528652559,1356909469,1407903404,1619941788,1487644456,1306958087,1023009446,1356353296,1811356033,1619967585,1538181995,1588652473,1982020962,1275741456,1639239726,1295706786,1720062383,1215137310,1114151081,1356483002,1457731432,1134119274,1649651290,1386202927,1588858237,1821110347,1891947347,1043438880,1023197456,1801058466,1720527856,1104201300,1164879581,1578213880,1851434914,1487742300,1598242422,1225488109,1861465726,1992319537,1013573799,1952988578,1669745899,1720610652,1427383421,1285935999,1487126959,1235677204,1750447785,1659865624,1891082012,1174012850,1548589708,1790869246,1295937787,1578757589,1942303300,1659939742,1316163488,1881602134,1386267367,1912223231,1972709756,1639198906,1376903955,1295981157,1851067508,1184125551,1912055443,1194857888,1134581374,1679626691,1841403565,1689705311,1912997297,1093864597,1164658811,1326795212,1114187762,1063498046,1477755494,1255073631,1487277273,1356652408,1053765842,1306217716,1477115822,1992834212,1639779275,1558748426,1205926243,1174702609,1124259031,1932198017,1811052285,1386401768,1568159044,1548852916,1134895402,1578879110,1609180181,1033803895,1386335172,1003031824,1629755244,1023301728,1942987979,1285166017,1598257339,1477016244,1275385510,1851775563,1881089340,1114360179,1306821681,1538222765,1427217199,1023170651,1477220184,1306133392,1477087120,1275068835,1316390362,1477797637,1427680271,1871050161,1043890940,1659668150,1740857861,1629692322,1518520022,1831509629,1457404808,1457404253,1124054176,1912125170,1609443019,1982727228,1437818580,1841314788,1003338740,1477520104,1932298197,1033196696,1265438915,1700406683,1376296285,1457583288,1235385055,1750624458,1114088739,1184732455,1285794859,1629297239,1942393970,1538279625,1518410471,1700218120,1073871091,1952462889,1457748097,1184182727,1063770220,1639667181,1396946026,1417218413,1750760062,1932611621,1467707489,1255719969,1932853207,1417605379,1730863275,1194731182,1134387467,1912431123,1003020256,1104039981,1063013936,1346221496,1073892246,1669768057,1265171482,1124827084,1811978109,1659757557,1457924748,1801112495,1265520407,1376927459,1861055246,1891249454,1881197960,1811165434,1518420793,1063660702,1295867570,1205996345,1699902247,1750827689,1134544281,1053474601,1922125228,1770041204,1346878816,1508691833,1952567570,1124029046,1043433121,1073719860,1871286724,1215277678,1801206438,1912164989,1932313244,1518967108,1972947349,1174956627,1699418459,1205945946,1598900888,1669889119,1417186545,1780763300,1760757512,1710193594,1558737692,1679199210,1922488071,1629651484,1255446225,1821385006,1982053138,1710199765,1467076919,1891255261,1316522634,1922714906,1619095726,1437773264,1720415607,1124125844,1790474161,1558649442,1881338291,1669518700,1942397740,1942412218,1205042702,1285724575,1396956736,1295220325,1245336734,1952430654,1558453431,1598357824,1447561436,1649276635,1447606587,1144888520,1124165766,1922111285,1205123403,1629209424,1851542203,1083794374,1396301503,1043639313,1619354347,1396484614,1114219615,1023211992,1447883913,1326782913,1700179710,1528294865,1972836708,1053608521,1679616353,1790825297,1285787721,1104561463,1760685887,1699062588,1356727242,1689821027,1134324031,1205102340,1659381820,1306923032,1528192713,1558353615,1194216523,1649610122,1811450562,1851381073,1144356247,1013228287,1750959946,1821080540,1811999329,1821653981,1548254485,1376095554,1760470827,1487897179,1477182103,1962477745,1205335627,1124141932,1134329568,1376567123,1144311309,1063909950,1629383195,1245487958,1124566021,1063493203,1497116735,1982652012,1518464429,1033120886,1144588286,1609191501,1689485450,1831412865,1285980243,1760058564,1710339387,1609512334,1508333089,1346243953,1477634962,1780733964,1376668665,1841316528,1629501465,1164864484,1003369695,1932886025,1295355444,1811060692,1881397958,1952813727,1730702770,1760722292,1063617108,1649469594,1396905188,1639277700,1740957018,1962694125,1912375791,1700378916,1568091247,1265096952,1023284338,1871174532,1427816321,1710689690,1407037369,1306692793,1609570886,1396904819,1710116496,1144211178,1609914548,1154053569,1265734891,1033404769,1508498114,1114219946,1356918080,1982292769,1801242425,1770121626,1750472775,1689737231,1669572798,1780046086,1437243367,1639142755,1497483861,1801450242,1083745996,1336368141,1780025544,1285694513,1487868881,1881980381,1558334136,1164797858,1083186357,1447252747,1477974616,1396736989,1396749016,1386132959,1568982783,1598147019,1699954859,1700012655,1528274768,1831478601,1679534895,1609983808,1083754246,1538372073,1821189853,1871827840,1003978792,1023700143,1962631770,1215430327,1578699617,1518406164,1952099335,1265676746,1518412998,1063023844,1063703080,1215510755,1386606317,1902959869,1932636388,1891858643,1386132447,1437371226,1922636992,1992794267,1437508496,1831714484,1669566121,1285372359,1740358993,1831515329,1043691157,1720601529,1316083777,1457542417,1942585658,1114909686,1558077958,1477945434,1831727882,1588698419,1437243441,1962021097,1063615219,1013015643,1801201223,1811553670,1043327984,1124179452,1033731955,1821439688,1366783607,1710991898,1184705915,1902393267,1508495672,1669655098,1720347859,1639753361,1336112168,1467447136,1598809857,1619125002,1730470915,1194825018,1245957414,1407235989,1053451401,1679222160,1740862788,1396278446,1760471791,1851380117,1356346282,1992387336,1952315871,1992320378,1568099604,1487662870,1841441508,1922091222,1538488366,1669680625,1184101685,1073667457,1578818357,1700969565,1073746822,1295826246,1396025177,1194821421,1508081779,1164179313,1376733410,1033308192,1912446170,1184889099,1336427384,1417366964,1992478127,1669603411,1861534539,1659570596,1477560977,1801851597,1023156775,1396884300,1497837181,1285167585,1699954495,1003960774,1144953506,1578841151,1730149428,1427442995,1588801815,1245938604,1285145938,1962905554,1104979483,1427226679,1649349671,1356034078,1760450506,1285862805,1720202351,1326189887,1548842941,1811055817,1134482102,1477227908,1477174886,1548824485,1366550881,1245654508,1598095267,1427491786,1821281205,1437425089,1033736467,1750378931,1265418008,1710088679,1306812672,1891845848,1073807103,1548498678,1255539227,1295954352,1184749533,1043833080,1205687811,1518342856,1154862100,1225231830,1922180306,1275189771,1154662815,1417142316,1396185773,1972090256,1770004079,1700164381,1154490969,1356568737,1407309271,1649813163,1336606144,1396324646,1619619970,1164253407,1548031941,1841796968,1649955337,1518653146,1730244757,1902018344,1174767511,1487746475,1124000617,1518225614,1669691739,1417176033,1801007935,1710064951,1245414630,1629235635,1467518191,1861955965,1932850351,1700442431,1609051606,1235122490,1578707949,1235210972,1679557045,1073890778,1902012461,1104942606,1568589018,1770678658,1366423444,1093240160,1952599649,1316928328,1861497513,1285191403,1417179151,1285619585,1396890752,1588218077,1477030088,1770977530,1336649573,1841248226,1134507510,1285637199,1447395835,1225484355,1932313301,1558845719,1528046620,1992279897,1124206479,1841297058,1699756866,1235543075,1174147375,1134351281,1467474940,1497309256,1356127567,1518956606,1407870264,1255493276,1841396108,1376100289,1780721951,1265871990,1205457744,1558457051,1821587569,1295423317,1073771630,1386101848,1982813358,1801944988,1699127456,1881858991,1619002912,1114074473,1629151691,1841738713,1063291045,1801588728,1306243480,1982773149,1952635625,1588046544,1871606376,1831330471,1598157141,1336378900,1801987102,1922540186,1578273082,1427449990,1932842051,1790704088,1609056068,1730494691,1366978736,1285876805,1346251352,1417059478,1447338686,1699143917,1871578377,1821130329,1669770442,1528495082,1982101259,1487873113,1104030147,1407544711,1639757644,1144402892,1164563961,1962661728,1952697450,1366901951,1386119055,1790363695,1134101652,1346447307,1932521473,1184194367,1134463516,1982996641,1619195138,1447322979,1629069729,1073928982,1326219445,1699761411,1992937429,1700400058,1962551937,1124237672,1104915651,1275760050,1720283054,1043469885,1134267032,1689883910,1184820276,1629278668,1013059336,1932264421,1568558997,1508874884,1609516202,1609283951,1265557904,1053489781,1093754467,1023469855,1255606257,1710066691,1184218406,1932127586,1861109589,1669400693,1962501908,1720349400,1588231997,1790273688,1265106934,1376298166,1164115713,1437232303,1831880590,1386337517,1245923275,1588283261,1962021931,1932431582,1093951360,1306849898,1609867530,1831202068,1285786137,1922627868,1376619536,1073615894,1174708903,1366555054,1871136242,1730382367,1659584084,1689034209,1861706467,1871954412,1851560486,1093742223,1265722029,1316096928,1346703600,1750443362,1972687598,1164403440,1023728755,1760530885,1942355599,1902530868,1609335298,1508396599,1255477436,1982634515,1154778637,1437779923,1104145804,1962623637,1205809282,1427212802,1871750166,1962547166,1497799647,1023280690,1679167522,1386179497,1740298744,1336022094,1902485923,1720395536,1144926288,1336724970,1609571819,1023713286,1093924755,1689178873,1477200897,1679793046,1922154830,1285846899,1386137263,1669821526,1457648545,1700315801,1538212386,1023491578,1740465061,1336472166,1720408990,1255491395,1225291347,1679667588,1669770715,1881703874,1174659403,1285933390,1184633489,1093370801,1972194637,1700963535,1013583848,1447538319,1205979051,1942540281,1477961357,1245654714,1932720513,1710040217,1598322471,1376106468,1720270424,1427047406,1750459194,1407985526,1003993502,1316951551,1861186884,1386788479,1356740807,1952043747,1659104016,1780601575,1932173150,1770070054,1508848870,1245215425,1689685620,1164633129,1700469244,1063401560,1528016631,1023162161,1922282128,1811082613,1356738280,1841669207,1730756073,1871755462,1992129738,1235590415,1639604861,1710382791,1164578019,1184142002,1568656973,1528456761,1750547154,1831707959,1598453193,1639238744,1407919178,1326029224,1225160237,1962623116,1225063159,1790123735,1790778579,1801310990,1639228638,1982167698,1265537724,1114919594,1356545537,1073106985,1548496870,1982705067,1609950872,1790005726,1790988939,1053392977,1518973965,1154326957,1396862272,1740270677,1245897123,1508511726,1427432418,1265674626,1811060536,1912640731,1427123975,1073872750,1831576065,1831117860,1548391303,1962717710,1689764631,1336877430,1619552569,1538815337,1487931853,1881184158,1013651017,1619502051,1811581176,1174216030,1548919079,1033955240,1235545104,1588369961,1447205901,1396741328,1467140988,1205825460,1306827506,1851684583,1518226919,1356386353,1548990476,1649777558,1992988604,1609978311,1750699799,1609119171,1902815244,1053614263,1063864759,1205828423,1093895625,1942959754,1205457249,1386905180,1386858660,1225413297,1811275449,1932396645,1124174354,1164673372,1356409817,1982746871,1215025879,1316505530,1104816032,1376852079,1457538464,1730231648,1235871567,1659950061,1497775415,1740938851,1073604575,1356029680,1689318883,1497984249,1346731536,1770237554,1215686092,1659684801,1871807941,1588648828,1093980906,1639585557,1649658691,1457322463,1396936506,1902540081,1790307064,1801991716,1821102252,1083300552,1811151640,1124150461,1912212200,1467081422,1699178467,1053629444,1700410479,1578541199,1669936381,1851753156,1639822943,1417350760,1194759712,1205826591,1023238326,1063628881,1356049704,1588310213,1780825430,1497076459,1831189885,1942400791,1467505644,1992971014,1558688192,1851563050,1194019901,1730370230,1104404169,1952564916,1770786600,1447240064,1821269937,1700311982,1992589675,1922044676,1346201993,1568096477,1114318862,1548541964,1598387383,1245386887,1912017336,1407683873,1417539305,1598176372,1912017617,1093939365,1861848285,1164653630,1093334468,1649423153,1235290321,1487009742,1578540381,1962796615,1649324757,1255321857,1053494112,1013936426,1528278272,1568893881,1811093404,1205459500,1780678748,1205074838,1023152329,1992180376,1366737306,1053845263,1457791816,1225408701,1457994980,1487371530,1134808959,1962423517,1255449765,1528768793,1831938513,1548793052,1336289594,1578206306,1073145934,1902661267,1558939694,1053984815,1639393754,1003006529,1386382554,1518978600,1699845214,1598936684,1326549189,1457758963,1720078769,1205419041,1801949888,1306840830,1740327741,1447564224,1316915036,1770639056,1265495634,1588248629,1770661696,1487801221,1215996590,1891363289,1376532473,1619359080,1902897408,1093722944,1720570377,1689744088,1437172251,1619043528,1851968069,1952306094,1518000348,1972950244,1760180822,1730497140,1649851569,1225634850,1316176175,1114483526,1447399365,1578145454,1710483185,1992928741,1326039439,1497861546,1275698722,1881924298,1275156036,1952621666,1316552409,1710508023,1376531608,1801389689,1124018130,1396976486,1598900854,1700862125,1104203272,1215569090,1689655599,1043900152,1518146448,1558541557,1649524794,1699829770,1912102898,1215625918,1902860208,1336398015,1275723439,1568509149,1790967412,1023499134,1407155088,1861481061,1568729788,1861691404,1083107874,1417026196,1396817664,1720220551,1851389084,1720517600,1760583934,1730297417,1609927532,1972077691,1487949236,1346346558,1417186552,1467801621,1982656344,1992885677,1215927884,1336424191,1992968598,1679789937,1205840774,1134392053,1992225791,1275745143,1104929132,1487740742,1588105480,1922182179,1962798009,1932167145,1891892444,1760846950,1386090504,1174716849,1831170430,1831311075,1720377153,1841384955,1528274172,1790970374,1588724074,1437140563,1265545529,1194929851,1184753774,1659734044,1811203458,1467560136,1710044904,1548365539,1043758592,1568924967,1760637672,1760521405,1831728161,1366949257,1861190290,1437849890,1295728913,1821284944,1245496215,1770922783,1053300525,1669204665,1225065881,1124333612,1760615603,1760556443,1144230434,1326186883,1356487359,1043418346,1235541038,1922736263,1639370448,1699985648,1720005689,1023008091,1457410631,1922460674,1699819813,1528240215,1386060051,1952538399,1003306184,1841796794,1063648392,1841811817,1376600213,1790286805,1710549662,1184819757,1821244872,1144677980,1508943200,1154311298,1578636668,1689885105,1831685452,1114194859,1073572996,1588198196,1336143874,1962698779,1487984563,1316227606,1841602745,1063530202,1033538772,1730406695,1720214596,1588303192,1134702632,1528763802,1952431587,1255747044,1083719223,1720234636,1467807123,1851926513,1285825349,1255495453,1447612106,1194877423,1427264746,1114420825,1730503228,1518525443,1033845524,1730365636,1578651121,1467500157,1093241242,1023271095,1821128273,1083835136,1336375377,1033365887,1689781833,1740469238,1104949007,1164603197,1053539650,1326267378,1851797146,1407377526,1386797371,1215083282,1750353397,1467835777,1235204629,1811977168,1639390297,1679623755,1174833271,1922881358,1316041346,1366639007,1922090927,1861611220,1912118704,1003305665,1659444008,1366022931,1598409872,1316463383,1780835868,1689265811,1831582147,1629121611,1902897283,1730396730,1366673618,1801869110,1598180739,1952392219,1467673244,1295725984,1427361872,1780187112,1790839637,1740751999,1598147571,1205287588,1134486715,1003897455,1659565810,1083346613,1801154497,1285899179,1376044479,1447489455,1467697326,1225486947,1447261128,1760485247,1033244801,1437501566,1710688221,1588294862,1104849660,1417680570,1841324258,1659592525,1588016497,1285203554,1730249442,1740848225,1396872255,1366604829,1598993396,1720120009,1104077643,1750486650,1760465918,1528465465,1215427596,1700844917,1073700761,1366709610,1043216435,1528590528,1043607559,1497892657,1700913019,1801479514,1114190303,1487742805,1245462035,1568684280,1033180690,1871646430,1235121203,1376857649,1639622483,1477607760,1962796201,1629601414,1174836274,1730572157,1205050275,1053815282,1093861338,1497746259,1407913403,1386144764,1992834360,1013149624,1508294356,1033108543,1366684524,1073621769,1306908025,1932763257,1396024196,1962589580,1548604085,1922336577,1609315340,1174596092,1952401788,1750508701,1316045297,1467594507,1942864939,1346331451,1356430706,1114954492,1144677725,1750370979,1912014010,1447361902,1225259971,1659446649,1205049707,1255303988,1215533609,1104200534,1346309820,1457611063,1083815476,1881870491,1902464241,1285601690,1104154111,1851591184,1841654761,1437224219,1013937416,1336233477,1134189509,1780751446,1275765554,1285812891,1972599983,1073122743,1194713032,1689221830,1477172872,1487793642,1770653552,1649859695,1205318516,1891362273,1457333130,1275673378,1831313493,1609163955,1316947476,1639299985,1316019086,1124194816,1215015268,1598854606,1538255625,1952781908,1568452209,1376680546,1508131228,1598921728,1386055929,1548439805,1508815507,1710516083,1467037093,1124146378,1730331190,1568653582,1376394239,1457942765,1558777169,1336833110,1811254428,1952987711,1962512756,1376004366,1790287506,1548882574,1528687688,1518656347,1124139316,1245850577,1396736310,1649316720,1922494780,1558983551,1205983673,1083740799,1447337555,1871658815,1538814470,1366900540,1053548412,1174806525,1184647133,1760545164,1104479450,1639224256,1801201116,1669750311,1205074432,1376079640,1063037471,1194163212,1740527241,1164643433,1629288568,1245557644,1780977926,1245408343,1366581522,1689787947,1528373784,1609228865,1902072366,1417019373,1578539458,1518653278,1952381279,1114418977,1609960525,1164567624,1336259324,1346609781,1285771881,1134336852,1457092876,1972917441,1225028467,1336339829,1093796963,1679547376,1275668113,1346554839,1164014494,1407853492,1427632082,1528426160,1790774271,1982677647,1598913337,1982768545,1326240458,1063834299,1801423058,1013099597,1952466906,1548729775,1467031310,1518608918,1407203417,1124685284,1255489977,1043748593,1154577815,1316162951,1346555208,1679761647,1154644284,1982335055,1457480675,1053932863,1093028102,1538427786,1902979362,1023091576,1104231661,1497283121,1821551375,1578290755,1902129091,1174564322,1316353204,1003903337,1427022599,1568499614,1124715776,1669600789,1801386610,1588643696,1861541690,1346368867,1457415465,1497882716,1528414455,1023105350,1083361950,1891743779,1508911587,1730515065,1508012667,1356333488,1700489200,1285800458,1790146538,1689841942,1720206709,1457385635,1093952236,1629297908,1568517431,1841685963,1306045042,1184605305,1376532671,1750537114,1679564363,1710220785,1134123490,1073503504,1497473821,1891226619,1932433919,1013359488,1902896319,1669766846,1346396629,1871649194,1073849048,1689873614,1093123895,1922238450,1679624639,1316015324,1831518331,1770707515,1063475424,1861593485,1346557774,1114001518,1720287964,1194822569,1588350664,1881809382,1447223649,1912968637,1053481143,1467662114,1083031553,1407471626,1578190716,1023160124,1245386713,1871796292,1154759165,1891848578,1376511733,1629067988,1104079284,1255533659,1194111054,1205333929,1144223603,1376162107,1255692810,1568106052,1114182854,1588199491,1699117200,1720832223,1588652432,1992401350,1407697584,1114689015,1477249985,1720034788,1457592495,1649394438,1811021876,1538389440,1831351055,1417191180,1619256831,1801417654,1083842223,1992932727,1063444156,1750479630,1619022548,1225027121,1104885854,1932254935,1437204054,1780655365,1578771317,1104806587,1801997333,1801958277,1215926084,1326178906,1801406632,1265641732,1497334650,1396790366,1447305065,1710154778,1528152568,1730449182,1639217151,1245866300,1619341922,1437890688,1932321759,1598197923,1740542315,1750586640,1144883059,1720221310,1912053208,1619054947,1821062100,1083641682,1952336174,1902980691,1487822219,1912165663,1942363957,1023106010,1710071790,1841501442,1679586549,1619067675,1477952166,1356480768,1073689725,1588233423,1144603275,1356331029,1093703258,1194863084,1255492377,1619535135,1477878403,1861988123,1316931561,1639334477,1649261397,1912108762,1396061743,1457429474,1700347226,1932366176,1396151627,1487678546,1164627113,1700924362,1497096689,1386837805,1780064287,1245372770,1588869002,1295296168,1164126991,1154007144,1861789638,1023616356,1205982196,1548619091,1689729618,1255602140,1932326139,1437140191,1619430709,1528688645,1205932720,1831160738,1871804740,1831387281,1447313481,1508989013,1205457108,1316252281,1386806578,1265051601,1043482607,1447600267,1467941526,1477809531,1295464980,1548337967,1790461721,1487872057,1346514148,1306287453,1659805562,1477894897,1104956697,1881847291,1679610216,1760524367,1114908985,1447374160,1720237746,1033641493,1891216099,1770974982,1134414030,1619006533,1063775773,1538208137,1871795922,1336722115,1144239930,1487772893,1093769317,1083725584,1770647398,1316157530,1578771960,1326034380,1174843049,1427639236,1427039312,1336212745,1659369767,1730306804,1255791935,1962694901,1144428178,1215342456,1184605362,1023279254,1720147200,1942514567,1619051158,1144458878,1780744466,1699766899,1427134709,1295140580,1285609594,1952681991,1659639326,1174833644,1245288539,1780788836,1538658885,1700929312,1124016126,1578618377,1508984329,1689688475,1184786873,1013762582,1447951041,1801336037,1952391153,1063648863,1487128518,1467788240,1821376930,1457498057,1710178645,1881370559,1508569633,1467568733,1932154382,1669643474,1861481988,1831300987,1699853168,1144486325,1700825627,1083091664,1730567314,1316151699,1760544001,1407016009,1295181931,1023298452,1033658497,1033191598,1770783706,1548271836,1184241838,1013079920,1144511742,1528632601,1245757608,1164691622,1306262407,1013907930,1831310234,1477698132,1548259799,1699083360,1225413867,1245897172,1598463671,1942356837,1750091260,1710266721,1861051534,1639813421,1265622872,1801819685,1982674909,1154311090,1194426700,1255427357,1154746238,1962638163,1215140645,1467677054,1477693562,1588747034,1508029034,1811378201,1235328816,1477018794,1902098122,1316924954,1285828327,1295949584,1063593622,1871049270,1740321181,1932413804,1417129818,1811994924,1033117379,1821248758,1023116829,1669121042,1083015374,1801012554,1164152617,1265738074,1992981831,1871027102,1659731750,1568693257,1164122438,1558045328,1427745561,1144835927,1831352699,1699921437,1902983448,1346313798,1134142680,1720076979,1760473888,1649312182,1013131499,1548388317,1255532032,1568504538,1437132040,1609332600,1942298625,1437280666,1073863015,1104907393,1427131010,1871630764,1750815197,1902368798,1659418259,1194344218,1396030797,1568099968,1922668961,1194287011,1982685087,1104047661,1538184866,1598178576,1851553259,1417023516,1467676015,1609811074,1174794481,1518163104,1588124200,1518086321,1245699388,1053699967,1629285655,1366702300,1972580918,1538352992,1083691638,1205827367,1902068844,1275667024,1700348331,1386850303,1699765784,1114000916,1770224693,1386145464,1396761375,1851632012,1285610329,1104519560,1942334214,1811673056,1699553651,1598293789,1699355990,1164004552,1497880983,1942578489,1902226582,1194714592,1275765471,1033324454,1790733046,1396921227,1548293012,1831689421,1548553365,1780690412,1699958611,1467580746,1578514329,1154953685,1871606558,1225564701,1598996068,1376683714,1811012081,1457349565,1730178294,1487613725,1861753949,1306969415,1972573004,1508994898,1447231683,1194814434,1528278769,1912562554,1134360696,1619905346,1891833315,1396852679,1669651493,1477764025,1538142948,1548465594,1194984773,1881749182,1841370632,1609052760,1457891160,1811488000,1194709360,1487810800,1538335484,1295820710,1922106517,1114174638,1952419327,1841377736,1942884655,1790834554,1144365925,1770134728,1861519951,1326792508,1568479848,1932408523,1710947932,1497734651,1598945982,1790272466,1124601679,1740923861,1174936611,1750392296,1750567061,1417039421,1538727987,1396727830,1053300533,1265590186,1831972157,1548806227,1902525587,1730220880,1154555290,1992398614,1215069554,1114618592,1568541456,1134512726,1518926310,1427549450,1730820663,1851920755,1447761622,1356640551,1821197955,1053943209,1508067943,1316252208,1811021975,1801898093,1265465611,1679606594,1053395046,1225208101,1174680391,1649288978,1841547320,1366432098,1629306931,1457935702,1114915386,1841250586,1619610169,1821136367,1225236961,1184613416,1801272893,1841600384,1174677579,1245920115,1548946759,1336400720,1275747610,1184779019,1093839706,1972694214,1376006593,1467194654,1578710752,1063597060,1558402123,1134100936,1679627632,1972906006,1437530375,1407449440,1467863357,1548519960,1346258365,1932294006,1932361144,1356089528,1306841754,1205250883,1033776570,1174760151,1063479236,1538316385,1780042150,1528236056,1114971017,1336895630,1124279856,1477712149,1215028535,1821403684,1003114976,1437205267,1770615973,1942292941,1639555329,1538295530,1598754707,1760845127,1730266818,1649926684,1093248239,1326245192,1376616672,1326201005,1588784946,1104930056,1285842542,1891942900,1336494939,1912122292,1942281829,1902011497,1295890788,1760463137,1306342639,1720600273,1154064566,1710663240,1528123635,1629157250,1821344532,1861437014,1124199294,1164831228,1902022122,1588097893,1649543737,1023140407,1528080413,1477635894,1730647900,1417967530,1780702167,1699824417,1144896929,1578696548,1891730362,1912006305,1043877335,1669140174,1538526041,1588878862,1750694840,1073595534,1306335468,1942216023,1275972507,1487678793,1962856070,1144844770,1003807975,1356460257,1114166113,1336440247,1700091907,1447518378,1346258597,1598771867,1174939557,1548244106,1003341330,1104062611,1316955313,1437132784,1982759049,1851667414,1043641772,1043775083,1790867646,1477543437,1104909928,1437282910,1326326430,1366976763,1821675893,1629755087,1083118533,1821002064,1306947825,1366800625,1770284549,1427381243,1316085202,1659950897,1841278421,1629358569,1750414744,1578051918,1386860401,1609372788,1306155171,1801370143,1821093261,1346528924,1033217674,1194798249,1942263314,1164411542,1861071474,1124497318,1518207927,1669908752,1992018766,1790099075,1790168177,1952901993,1376975490,1366405334,1215445648,1740920115,1205418035,1336113562,1033317813,1427526862,1407285869,1013001460,1598742173,1134143993,1720238090,1952963951,1720186745,1023008919,1609055938,1720212087,1689735094,1558780445,1619193661,1326181389,1558940742,1518036631,1316936834,1447319652,1982144499,1295767598,1518661370,1831624261,1093844813,1912153461,1699158691,1699084087,1396735411,1184823122,1922425982,1821612201,1205147642,1093976292,1548343080,1386811701,1184162174,1316197007,1386778645,1164405411,1659427375,1891006649,1942415419,1508471665,1134296015,1003472580,1811980501,1962662262,1396150322,1982789681,1720207921,1366432304,1952361644,1255461521,1447605241,1689122988,1831245059,1073803003,1003946815,1265421200,1376166439,1386797942,1508932237,1538325865,1184761769,1760590467,1336357870,1174766992,1265415509,1760532303,1609209626,1295875144,1043291974,1578531752,1912040528,1356732861,1720186026,1619401890,1134396674,1013301662,1477243723,1477055820,1205056025,1922020072,1487096566,1275679763,1538507975,1528694551,1174679740,1295803658,1972989952,1851474142,1619397908,1316721459,1467505255,1285716779,1184353534,1831502715,1497508428,1689372161,1710038369,1245806066,1336876135,1326141177,1104800432,1952359382,1437222494,1689709826,1407837594,1578545505,1649463688,1962677914,1487883294,1750453882,1811647084,1205873312,1992957302,1689845240,1902438344,1073554291,1659753598,1881394450,1093947095,1295857191,1710411525,1720715725,1780773937,1134506132,1033741376,1417938655,1508056136,1851510283,1649363011,1477567626,1245229210,1255471066,1871677815,1841551652,1821299678,1295859718,1346231719,1609973114,1619968450,1841477379,1437465390,1609884691,1124346887,1639220536,1184636342,1689872400,1295725166,1851587570,1851913206,1669670568,1174677397,1447697875,1043525488,1417315995,1144333758,1336703743,1063493120,1992827075,1194988519,1780208678,1801074778,1962051201,1588756563,1366583676,1386086213,1376677369,1235279563,1689875650,1881610855,1326589946,1740650985,1124182464,1629462429,1275384463,1669780573,1912614934,1225530454,1700490802,1497935704,1134394422,1114148954,1841214087,1053710418,1134253545,1821201377,1043524200,1255471389,1649368465,1841279544,1154490928,1790282044,1831447341,1780247874,1295090348,1073192910,1366671281,1124231212,1851435697,1760603906,1447531231,1457799348,1508597931,1568776185,1801050489,1144801945,1902015886,1164564308,1831770296,1013391549,1831360957,1881724557,1053579813,1427213925,1366538910,1750592069,1588787717,1235282047,1295358109,1417946583,1720207566,1316146152,1396144903,1881077402,1831783976,1821206970,1073657730,1821100611,1407879497,1720099583,1528588183,1720485675,1659353167,1356414023,1902237449,1467018838,1881754380,1801186432,1568165348,1225739873,1659440766,1790977346,1083884423,1386102721,1598204265,1205029550,1225380652,1831898105,1639390420,1346460318,1033298914,1659360188,1588653166,1316168453,1770602328,1326127713,1649838772,1063567907,1356658942,1407982903,1407529043,1447632856,1851824361,1528241817,1811002058,1841404407,1548381015,1316162282,1376631523,1417932088,1316564875,1184791352,1376516070,1396388294,1396996419,1386633444,1801291992,1376606574,1336317445,1326572728,1841280773,1740269463,1427070358,1689890980,1679348577,1427673169,1669532206,1609849058,1568452142,1144203613,1750027397,1558574855,1346942083,1700626330,1326737941,1780326611,1285714014,1255418679,1417152455,1033643531,1194939355,1790123198,1851589824,1124762588,1316685860,1235278946,1164771705,1619530565,1528077997,1942393905,1710397286,1881684058,1932856143,1639249964,1043969421,1124194998,1326108614,1851557904,1578910071,1902983455,1457564569,1437566015,1043535883,1508992033,1578987723,1144865189,1679195937,1609085034,1013579192,1902052475,1124436134,1871791145,1134985229,1407968688,1760529838,1659418291,1336580414,1205042033,1538372388,1982979506,1477585651,1629261896,1558589143,1669932927,1336144385,1659548394,1740661172,1932199775,1548349137,1639886641,1326468539,1881847374,1164193538,1164515649,1639251002,1013085273,1750424644,1689266876,1295377059,1427157940,1679555304,1336268036,1225019102,1306825963,1639168727,1073502332,1306580592,1447690136,1659395416,1780278713,1477977841,1356601983,1164682928,1740612597,1417702515,1497096655,1609376722,1487812608,1043633365,1447469333,1184751182,1023747565,1952561219,1598745069,1285813030,1609952613,1790161677,1841501723,1154476570,1902894843,1215180039,1912248683,1699089136,1740521376,1295826600,1851448575,1821228438,1528763232,1407487440,1619022498,1528135696,1720116403,1083101224,1821748377,1225417249,1720257264,1033251699,1114308855,1053775551,1083360887,1093879355,1144223892,1053455089,1427049907,1588729842,1174773279,1669766101,1316441298,1003888686,1407916729,1134629900,1255485165,1255321477,1417028531,1841377967,1144853656,1972592012,1326378860,1942529631,1780313627,1659587970,1447561485,1265972616,1780864488,1104969344,1477631455,1437169927,1699753558,1467517979,1417189853,1275545956,1487857801,1447756408,1598775520,1356684062,1114062874,1568515856,1780806224,1033426390,1104921865,1316066046,1770989931,1912051236,1477784452,1881782134,1689713000,1750580973,1912036724,1194327478,1225342181,1013000934,1699462242,1386696722,1629086681,1619255494,1699941492,1568471209,1780891192,1649314006,1144431768,1184613564,1124152715,1649298944,1427315316,1225239734,1821475609,1538293675,1649319369,1255312641,1518970789,1326749433,1285776021,1053008912,1649335365,1649615261,1770210338,1558847079,1386149201,1932198389,1184245904,1649648593,1447309679,1053477117,1114918182,1881382711,1881853588,1427404755,1053822486,1437291077,1770921769,1003054370,1205415916,1215437645,1336581545,1841414380,1841508611,1952862419,1912230533,1780726885,1376942292,1770658692,1083073431,1669434015,1568518066,1639671779,1184779449,1063424489,1205273117,1902874290,1003909359,1487893855,1982981601,1013560838,1043201759,1982730180,1417173683,1871685719,1679534580,1912321373,1053444703,1609697291,1538376447,1962595132,1699751438,1073751087,1902980188,1598844953,1104048081,1265058150,1578213161,1821147190,1487359550,1477644532,1255951570,1316065733,1902579469,1326482951,1851436513,1174652986,1730708348,1831249846,1023010568,1194805747,1730168758,1629293881,1922196054,1043640709,1639867518,1508393414,1841424496,1326387341,1659644995,1144510827,1467913517,1508842410,1568592087,1396192308,1740499631,1841366622,1679860555,1871612838,1013049592,1912068461,1356436091,1508996463,1326544784,1982930855,1235623307,1134702558,1265785067,1073669735,1366578726,1184972283,1851370621,1669482626,1548830672,1740418961,1487856522,1942344411,1538216270,1033476940,1801949078,1184056327,1578896676,1144635467,1457434540,1972282077,1023795762,1407558109,1881378594,1982797387,1952500613,1528280245,1295726339,1487949228,1164055588,1609181577,1528057510,1710950605,1154348712,1275524316,1831592435,1265632798,1376994038,1841544913,1801460332,1316560824,1831188234,1346389756,1316121577,1306926464,1043320385,1811046741,1346495850,1275623100,1487742276,1487631735,1669834743,1669543237,1598882300,1063839744,1255733606,1396843884,1164700449,1083617088,1245487313,1184615171,1598389678,1679461776,1033507181,1801423009,1548306749,1205901915,1457683575,1760902878,1497131189,1902425127,1710964986,1417788670,1063502359,1568444057,1861558736,1932514072,1235113598,1316487960,1669628095,1134315807,1437729365,1326184771,1659446565,1174675730,1902812134,1760554448,1265669303,1184724379,1942308366,1093108284,1295604577,1235553405,1093371700,1841280070,1437294543,1275672453,1073661666,1497895825,1821147372,1780898031,1992784748,1063512788,1316909765,1679722383,1356330708,1639873987,1659397578,1801066840,1629256276,1053335745,1558446450,1396035507,1770101131,1902911993,1831270982,1679271035,1144203878,1538159181,1134136823,1487887246,1295094670,1902955693,1588945000,1407989130,1093706822,1033199302,1992949606,1922149749,1174836100,1346286291,1376818641,1588746077,1720125537,1568620334,1508190109,1376774661,1215613450,1437349396,1003121252,1104130707,1487795365,1871737221,1942941331,1861550626,1518520675,1508554064,1639319338,1366885857,1154688869,1649328345,1639360837,1598970428,1619655941,1487146676,1992981054,1891783031,1649425265,1083972111,1700898418,1518091719,1881748986,1003223231,1952931222,1245061571,1669493326,1891818688,1568770527,1366596306,1568106193,1295052629,1255321493,1184182792,1134506009,1932225463,1275107682,1588706758,1457546749,1568773687,1326509316,1356679997,1518078302,1427209485,1194928747,1912648601,1679105217,1447392394,1144475617,1538257001,1386777027,1316295124,1164573432,1407268212,1942791983,1205505898,1639855653,1043293863,1578541140,1083603666,1164562237,1558890731,1962863639,1841878071,1912016577,1447782057,1306265517,1306001136,1962502344,1265971048,1811906563,1730327537,1346224672,1003098476,1659551026,1861747206,1154781326,1750622155,1083305338,1902929706,1831363050,1184769556,1659935773,1790171536,1326264870,1336630714,1528267242,1447323753,1760677165,1578661740,1508977935,1295870111,1831783042,1972942399,1477734192,1801930698,1285031930,1912030693,1730170721,1760644645,1932182375,1265061329,1255486726,1336328368,1134510480,1467046318,1588542633,1205429644,1902485485,1225136815,1598840852,1144491747,1114093887,1861663569,1427433325,1356361836,1376515387,1639524192,1235440405,1235145970,1457406324,1427255348,1316015803,1467910968,1104481274,1104005107,1346338712,1467916569,1366598302,1548259120,1003065087,1578200093,1487978086,1316917032,1205123163,1215059803,1891778957,1699152660,1942421292,1578270062,1306925904,1972753861,1639297823,1003945437,1306985452,1629200506,1972671063,1295895860,1619368883,1821249509,1669730149,1770789034,1710204888,1225064611,1306940994,1801856398,1699090928,1700343175,1043343239,1700959756,1558684159,1366586208,1396272191,1033476601,1053844340,1174641674,1134514243,1508750985,1114142858,1326274523,1578898623,1679770523,1780859504,1013331289,1659411239,1508121534,1821281239,1457679938,1932207651,1730230574,1659433704,1679013775,1639810971,1669001707,1780763888,1114060753,1013336502,1821653056,1972631323,1649583220,1265473243,1679951537,1083612618,1346375698,1467668038,1174117360,1013188242,1285021824],"tin":{"type":"ein","value":"810616910","business_name":"No business name found"}},{"npi":[1871509620,1891701223,1831779099,1134443898,1477587608,1457562522,1487679932,1942910807,1053380725,1982930640,1871807180,1205320769,1568770238,1205066503,1750617239,1740619063,1639694003,1699074690,1235661166,1972605756,1730207135,1669147187,1760696413,1528398062,1972037596,1215135843,1821164708,1790171783,1063504934,1891704011,1619289352,1528300944,1356532758,1528092020,1639195381,1760866123,1417300138,1851626824,1417444530,1518454610,1194222968,1649289869,1346983145,1003607870,1366904088,1740394204,1316528177,1659317956,1639188857,1588951115,1497999122,1598337578,1215322383,1982616991,1386099620,1790918613,1437282605,1811309800,1902077852,1013528595,1952339673,1568712883,1285876961,1932083243,1588200950,1811492648,1730513631,1740216829,1083472906,1164702510,1780114736,1093215048,1760902258,1407939705,1346820503,1154391779,1184579757,1548908767,1518528066,1962505214,1750336665,1013902550,1003420472,1679820724,1790367282,1649803974,1063403863,1356174288,1578896650,1003298993,1831504802,1366620031,1285758276,1063162410,1477385144,1083914964,1194555003,1801805759,1063447746,1447354659,1588046080,1730258625,1962428904,1063945798,1538689377,1013748250,1861574311,1336216613,1720190051,1427199942,1346344710,1033960836,1164151791,1992455885,1730181140,1649819269,1609221829,1851374870,1881635647,1801678404,1124198643,1164867347,1649767559,1134541733,1720278617,1356547129,1780668236,1265187447,1578718110,1841234895,1902559594,1720494859,1386090710,1184053381,1982898805,1659067221,1518696897,1528122314,1891097416,1952904732,1831152586,1215247895],"tin":{"type":"ein","value":"132828349","business_name":"No business name found"}},{"npi":[1982616991],"tin":{"type":"npi","value":"1982616991"}},{"npi":[1235196320],"tin":{"type":"npi","value":"1235196320"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"INJ ARG NOT THER EQV TO J0883 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0891","description":"INJ ARG NOT THER EQV TO J0883 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate, oral, 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8610","description":"Methotrexate, oral, 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, GenVisc 850, for intra-articular injection, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7320","description":"Hyaluronan or derivative, GenVisc 850, for intra-articular injection, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MOXIFLOXACIN FRES KABI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2281","description":"INJ MOXIFLOXACIN FRES KABI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"XWRAP PLUS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4357","description":"XWRAP PLUS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4770.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Antepartum care only; 7 or more visits","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59426","description":"Antepartum care only; 7 or more visits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Semen analysis; volume, count, motility, and differential","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89320","description":"Semen analysis; volume, count, motility, and differential","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99391","description":"PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, epirubicin HCl, 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9178","description":"Injection, epirubicin HCl, 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, glucarpidase, 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9293","description":"Injection, glucarpidase, 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":463.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, epoetin alfa, biosimilar, (retacrit) (for non-esrd use), 1000 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5106","description":"Injection, epoetin alfa, biosimilar, (retacrit) (for non-esrd use), 1000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Factor IX complex, per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7194","description":"Factor IX complex, per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90740","description":"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":230.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING EVAL MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97170","description":"ATHLETIC TRAINING EVAL MOD COMPLEX 30 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"USTEKINUMAB-HMNY 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5164","description":"USTEKINUMAB-HMNY 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CALCIUM GLUCONATE NOS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0612","description":"INJ CALCIUM GLUCONATE NOS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CAPECITABINE ORAL 50 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8522","description":"CAPECITABINE ORAL 50 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION INCLISIRAN 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1306","description":"INJECTION INCLISIRAN 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVACAINE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9144","description":"INJECTION BUPIVACAINE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FLUORESCEIN 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9612","description":"INJ FLUORESCEIN 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59510","description":"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2700.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION OLANZAPINE 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2359","description":"INJECTION OLANZAPINE 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GA GA-68 GOZETOTD DX ILLUCCIX 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9596","description":"GA GA-68 GOZETOTD DX ILLUCCIX 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1106.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FLUOROURACIL 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9192","description":"INJ FLUOROURACIL 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BARRERA SL OR BARRERA DL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4281","description":"BARRERA SL OR BARRERA DL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1581.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; whirlpool","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97022","description":"Application of a modality to 1 or more areas; whirlpool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION VANCOMYCIN HCL 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3373","description":"INJECTION VANCOMYCIN HCL 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ALLOSKIN AC PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4141","description":"ALLOSKIN AC PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":99.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0138","description":"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, penicillin G benzathine, 100,000 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0561","description":"Injection, penicillin G benzathine, 100,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MIRIKIZUMAB-MRKZ 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2267","description":"INJ MIRIKIZUMAB-MRKZ 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1096","description":"Dexamethasone, lacrimal ophthalmic insert, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":87.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, lanadelumab-flyo, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0593","description":"Injection, lanadelumab-flyo, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59410","description":"Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CYGNUS DUAL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4282","description":"CYGNUS DUAL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1377.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GROUP ADAPTIVE BHV TX BY PROTOCOL TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97154","description":"GROUP ADAPTIVE BHV TX BY PROTOCOL TECH EA 15 MIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CAREPATCH PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4236","description":"CAREPATCH PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1326.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, interferon beta-1a, 1 mcg for intramuscular use","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q3027","description":"Injection, interferon beta-1a, 1 mcg for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":77.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOCORE PRO+ PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4299","description":"AMNIOCORE PRO+ PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3065.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, bimatoprost, intracamera","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7351","description":"Injection, bimatoprost, intracamera","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":201.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LABETALOL HCL HIKMA 5MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1921","description":"INJ LABETALOL HCL HIKMA 5MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Rhythm ECG, 1-3 leads; interpretation and report only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93042","description":"Rhythm ECG, 1-3 leads; interpretation and report only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Melphalan, oral, 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8600","description":"Melphalan, oral, 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Infusion, normal saline solution, sterile (500 ml=1 unit)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7040","description":"Infusion, normal saline solution, sterile (500 ml=1 unit)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"E-GRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4318","description":"E-GRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1695.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, estradiol valerate, up to 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1380","description":"Injection, estradiol valerate, up to 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TRABECTEDIN 0.01 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9362","description":"INJ TRABECTEDIN 0.01 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7511","description":"Lymphocyte immune globulin, antithymocyte globulin, rabbit, parenteral, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1156.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECT METOPROLOL TARTRATE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0616","description":"INJECT METOPROLOL TARTRATE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TYENNE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5135","description":"INJ TYENNE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9507","description":"Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4483.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose/normal saline (500 ml = 1 unit)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7042","description":"5% dextrose/normal saline (500 ml = 1 unit)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ibandronate sodium, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1740","description":"Injection, ibandronate sodium, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59620","description":"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1850.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Vitrectomy, mechanical, pars plana approach;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67036","description":"Vitrectomy, mechanical, pars plana approach;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":804.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90651","description":"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":380.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, panitumumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9303","description":"Injection, panitumumab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":190.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SURGICORD PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4218","description":"SURGICORD PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":127.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ganirelix acetate, 250 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0132","description":"Injection, ganirelix acetate, 250 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":187.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MIRRAGEN ADVANCE WOUND MATRIX SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2002","description":"MIRRAGEN ADVANCE WOUND MATRIX SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":199.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SANOGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4319","description":"SANOGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1719.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Dobutamine HCl, per 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1250","description":"Injection, Dobutamine HCl, per 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, onabotulinumtoxinA, 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0585","description":"Injection, onabotulinumtoxinA, 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2091.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ GLYCOPYRROLATE FRES KABI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1598","description":"INJ GLYCOPYRROLATE FRES KABI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PCV21 VACCINE IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90684","description":"PCV21 VACCINE IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":326.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, desmopressin acetate, per 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2597","description":"Injection, desmopressin acetate, per 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ALFENTANIL HCL 500 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0216","description":"INJECTION ALFENTANIL HCL 500 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Blood count; blood smear, microscopic examination with manual differential WBC count","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85007","description":"Blood count; blood smear, microscopic examination with manual differential WBC count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11306","description":"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":85.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11441","description":"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":180.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, mogamulizumab-kpkc, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9204","description":"Injection, mogamulizumab-kpkc, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":248.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90732","description":"PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":126.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SURGIGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4183","description":"SURGIGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":85.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION PE HCL BIORPHEN 20 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2372","description":"INJECTION PE HCL BIORPHEN 20 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ AVSX-101-XIOI P-TX TO 5X10^15VG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3399","description":"INJ AVSX-101-XIOI P-TX TO 5X10^15VG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2716451.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, busulfan, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0594","description":"Injection, busulfan, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Strabismus surgery, any procedure, superior oblique muscle","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67318","description":"Strabismus surgery, any procedure, superior oblique muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":660.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cinacalcet, oral, 1 mg, (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0604","description":"Cinacalcet, oral, 1 mg, (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose with potassium chloride, 1000 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5012","description":"5% dextrose with potassium chloride, 1000 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, edetate calcium disodium, up to 1,000 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0600","description":"Injection, edetate calcium disodium, up to 1,000 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6273.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"EMT 200MG AND TFV AF 25MG ORAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0751","description":"EMT 200MG AND TFV AF 25MG ORAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"COMMUNITY/WORK REINTEGRATION TRAINJ EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97537","description":"COMMUNITY/WORK REINTEGRATION TRAINJ EA 15 MIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5103","description":"Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ APONVIE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8502","description":"INJ APONVIE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INSTILL BUPIVAC AND MELOXIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0668","description":"INSTILL BUPIVAC AND MELOXIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, treprostinil, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3285","description":"Injection, treprostinil, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fosphenytoin sodium, 750 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0078","description":"Injection, fosphenytoin sodium, 750 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, meloxicam, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1738","description":"Injection, meloxicam, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INNOVAMATRIX FS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2013","description":"INNOVAMATRIX FS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1377.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hyaluronidase, ovine, preservative free, per 1,000 USP units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3472","description":"Injection, hyaluronidase, ovine, preservative free, per 1,000 USP units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":418.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pasireotide long acting, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2502","description":"Injection, pasireotide long acting, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":613.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ VANCOMYCIN MYLAN 10MG NT J3373","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3374","description":"INJ VANCOMYCIN MYLAN 10MG NT J3373","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ARIPIPRAZOLE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0402","description":"INJECTION ARIPIPRAZOLE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, aminophyllin, up to 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0280","description":"Injection, aminophyllin, up to 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7614","description":"Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Everolimus, oral, 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7527","description":"Everolimus, oral, 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97110","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INTRA COPP CONTRA PARAGARD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7300","description":"INTRA COPP CONTRA PARAGARD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1424.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ OCRELIZUMAB 1 MG HYA-OCSQ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2351","description":"INJ OCRELIZUMAB 1 MG HYA-OCSQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 DOTATOC DIAG 0.01 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9067","description":"GALLIUM GA-68 DOTATOC DIAG 0.01 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3092.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEUCOVORIN CALCIUM 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0643","description":"INJ LEUCOVORIN CALCIUM 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TEPLIZUMAB-MZWV 5 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9381","description":"INJECTION TEPLIZUMAB-MZWV 5 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17311","description":"MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":268.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GALLIUM GOZELLIX 1 MILLICURI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9616","description":"GALLIUM GOZELLIX 1 MILLICURI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1127.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Bladder instillation of anticarcinogenic agent (including retention time)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51720","description":"Bladder instillation of anticarcinogenic agent (including retention time)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":143.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NOVACHOR PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4194","description":"NOVACHOR PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":850.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pegylated interferon alfa-2a, 180 mcg per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0145","description":"Injection, pegylated interferon alfa-2a, 180 mcg per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1135.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NUDYN SL OR NUDYN SLW PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4286","description":"NUDYN SL OR NUDYN SLW PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":181.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION LANREOTIDE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1932","description":"INJECTION LANREOTIDE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 25 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99232","description":"SBSQ HOSPITAL CARE/DAY 25 MINUTES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MIRO3D PER CC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2025","description":"MIRO3D PER CC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":212.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, amphotericin B liposome, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0289","description":"Injection, amphotericin B liposome, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93307","description":"ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":192.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, epoprostenol, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1325","description":"Injection, epoprostenol, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0599","description":"Injection, c-1 esterase inhibitor (human), (haegarda), 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SEVELAMER CARBONATE 20 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0601","description":"SEVELAMER CARBONATE 20 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AXOLOTL DUALGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4332","description":"AXOLOTL DUALGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1726.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9961","description":"High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RENEW FT MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4378","description":"RENEW FT MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3927.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Rho D immune globulin, human, minidose, 50 mcg (250 i.u.)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2788","description":"Injection, Rho D immune globulin, human, minidose, 50 mcg (250 i.u.)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, amikacin sulfate, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0278","description":"Injection, amikacin sulfate, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy, rigid; with biopsy, single or multiple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45305","description":"Proctosigmoidoscopy, rigid; with biopsy, single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":146.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67316","description":"Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":660.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor VIII (antihemophilic factor, recombinant), per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7188","description":"Injection, factor VIII (antihemophilic factor, recombinant), per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":131.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fosaprepitant, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1453","description":"Injection, fosaprepitant, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of intestine by capsule, tube, peroral (1 or more specimens)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44100","description":"Biopsy of intestine by capsule, tube, peroral (1 or more specimens)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":131.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ETOPOSIDE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9187","description":"INJ ETOPOSIDE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97169","description":"ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9382","description":"INJECTION ZENOCUTUZUMAB ZBCO 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, Orthovisc, for intra-articular injection, per dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7324","description":"Hyaluronan or derivative, Orthovisc, for intra-articular injection, per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":116.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"EPINEPHRINE INTL MED NOT EQ J0165","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0168","description":"EPINEPHRINE INTL MED NOT EQ J0165","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ NEOSTIGMIN/GLYCOPYRROLAT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2711","description":"INJ NEOSTIGMIN/GLYCOPYRROLAT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97161","description":"PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, mepivacaine HCl, per 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0670","description":"Injection, mepivacaine HCl, per 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dexamethasone sodium phosphate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1100","description":"Injection, dexamethasone sodium phosphate, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67039","description":"Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1154.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, omalizumab, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2357","description":"Injection, omalizumab, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ibutilide fumarate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1742","description":"Injection, ibutilide fumarate, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":316.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation);","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82803","description":"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1417.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION CERTOLIZUMAB PEGOL 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0717","description":"INJECTION CERTOLIZUMAB PEGOL 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Procarbazine HCl, oral, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0182","description":"Procarbazine HCl, oral, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":180.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90697","description":"DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":169.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pemetrexed, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9305","description":"Injection, pemetrexed, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TISLELIZUMAB-JSGR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9329","description":"INJ TISLELIZUMAB-JSGR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Butorphanol tartrate, nasal spray, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0012","description":"Butorphanol tartrate, nasal spray, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":81.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ HERCESSI 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5146","description":"INJ HERCESSI 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"LM<=110M AT ANTICD19 CAR-P VIBL TC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2054","description":"LM<=110M AT ANTICD19 CAR-P VIBL TC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":589846.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-BMWO 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5157","description":"INJ DENOSUMAB-BMWO 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MITOMYCN PYELOCALYCEAL INSTILL 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9281","description":"MITOMYCN PYELOCALYCEAL INSTILL 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":357.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"EPINEPHRINE IN NACL ENDO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0163","description":"EPINEPHRINE IN NACL ENDO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION BUMETANIDE 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1939","description":"INJECTION BUMETANIDE 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CELLESTA OR CELLESTA DUO PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4184","description":"CELLESTA OR CELLESTA DUO PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":500.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 30 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99221","description":"INITIAL HOSPITAL CARE/DAY 30 MINUTES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":77.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5112","description":"INJECTION TRASTUZUMAB-DTTB BIOSIMILAR 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, burosumab-twza 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0584","description":"Injection, burosumab-twza 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":507.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOBIND/DERMABIND TL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4225","description":"AMNIOBIND/DERMABIND TL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1479.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67314","description":"Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":660.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACETONIDE PF 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3300","description":"INJ TRIAMCINOLONE ACETONIDE PF 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9963","description":"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FERUMOXYTOL 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9574","description":"INJ FERUMOXYTOL 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cidofovir, 375 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0740","description":"Injection, cidofovir, 375 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":566.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEUPROLIDE ACET LUTR DPT 7.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1954","description":"INJ LEUPROLIDE ACET LUTR DPT 7.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":683.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hyaluronidase, recombinant, 1 USP unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3473","description":"Injection, hyaluronidase, recombinant, 1 USP unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90384","description":"Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":87.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, vinblastine sulfate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9360","description":"Injection, vinblastine sulfate, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION CASIMERSEN 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1426","description":"INJECTION CASIMERSEN 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":161.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ENFORTUMAB VEDOTIN-EJFV 0.25 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9177","description":"INJ ENFORTUMAB VEDOTIN-EJFV 0.25 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":37.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90672","description":"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"KERECIS OMEGA3 PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4158","description":"KERECIS OMEGA3 PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":85.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97530","description":"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ESKETAMINE NASAL SPRAY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0013","description":"ESKETAMINE NASAL SPRAY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, docetaxel, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9171","description":"Injection, docetaxel, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11300","description":"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, amphotericin B, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0285","description":"Injection, amphotericin B, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ OMIDUBICEL-ONLV TX DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3406","description":"INJ OMIDUBICEL-ONLV TX DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":694390.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ SECUKINUMAB INTRAV 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3247","description":"INJ SECUKINUMAB INTRAV 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5116","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5116","description":"HCPCS-Q5116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ADALIMUMAB 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0139","description":"INJ ADALIMUMAB 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted therapeutic procedure (specify)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97139","description":"Unlisted therapeutic procedure (specify)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43250","description":"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":243.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, immune globulin, intravenous, nonlyophilized (e.g., liquid), not otherwise specified, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1599","description":"Injection, immune globulin, intravenous, nonlyophilized (e.g., liquid), not otherwise specified, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":151.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 labeled autologous white blood cells, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9570","description":"Indium In-111 labeled autologous white blood cells, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4294.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90375","description":"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":276.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, meperidine HCl, per 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2175","description":"Injection, meperidine HCl, per 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION FARICIMAB-SVOA 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2777","description":"INJECTION FARICIMAB-SVOA 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Porcine implant, Permacol, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9364","description":"Porcine implant, Permacol, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90291","description":"Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1901.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MICAFUNG SD NOT TX EQ J2248/1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2247","description":"INJ MICAFUNG SD NOT TX EQ J2248/1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive pills for birth control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4993","description":"Contraceptive pills for birth control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97167","description":"OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99395","description":"PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION PHENOBARBITAL SODIUM 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2561","description":"INJECTION PHENOBARBITAL SODIUM 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NEOSTIM DL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4267","description":"NEOSTIM DL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":701.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pentobarbital sodium, per 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2515","description":"Injection, pentobarbital sodium, per 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Lidocaine 70 mg/tetracaine 70 mg, per patch","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9285","description":"Lidocaine 70 mg/tetracaine 70 mg, per patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Sildenafil citrate, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0090","description":"Sildenafil citrate, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MELPHALAN APOTEX 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9249","description":"INJ MELPHALAN APOTEX 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fremanezumab-vfrm, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3031","description":"Injection, fremanezumab-vfrm, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90694","description":"AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, doxorubicin hydrochloride, liposomal, imported Lipodox, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2049","description":"Injection, doxorubicin hydrochloride, liposomal, imported Lipodox, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":494.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TOCILIZUMAB-ANOH HOSPI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0237","description":"INJ TOCILIZUMAB-ANOH HOSPI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11621","description":"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":194.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93000","description":"Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GRAFTJACKET XPRESS, injectable, 1cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4113","description":"GRAFTJACKET XPRESS, injectable, 1cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":935.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ampicillin sodium/sulbactam sodium, per 1.5 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0295","description":"Injection, ampicillin sodium/sulbactam sodium, per 1.5 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION LABETALOL HCL 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1920","description":"INJECTION LABETALOL HCL 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HYALOMATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4117","description":"HYALOMATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FILGRASTIM-AYOW BIOSIMILR 1 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5125","description":"INJ FILGRASTIM-AYOW BIOSIMILR 1 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2448.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, amifostine, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0207","description":"Injection, amifostine, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1092.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43244","description":"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":243.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, triamcinolone hexacetonide, per 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3303","description":"Injection, triamcinolone hexacetonide, per 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, telavancin, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3095","description":"Injection, telavancin, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LINEZOLID HOSPIRA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2021","description":"INJ LINEZOLID HOSPIRA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"THERAGENESIS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2008","description":"THERAGENESIS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":151.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, diclofenac sodium, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1130","description":"Injection, diclofenac sodium, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90662","description":"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":116.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LINVOSELTAMAB-GCPT 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9601","description":"INJ LINVOSELTAMAB-GCPT 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":99.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, sulfur hexafluoride lipid microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9950","description":"Injection, sulfur hexafluoride lipid microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"XCELLISTEM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2004","description":"XCELLISTEM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90688","description":"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81002","description":"URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ NIVOLUMAB 2 MG HYALURONIDASE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9289","description":"INJ NIVOLUMAB 2 MG HYALURONIDASE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TOCILIZUMAB-BAVI 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0234","description":"INJ TOCILIZUMAB-BAVI 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PROMETHAZINE HCL 12.5 MG ORAL NOT>48 HR DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0169","description":"PROMETHAZINE HCL 12.5 MG ORAL NOT>48 HR DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, streptozocin, 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9320","description":"Injection, streptozocin, 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":356.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, triptorelin pamoate, 3.75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3315","description":"Injection, triptorelin pamoate, 3.75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":506.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ GLUCAGON GVOKE 0.01 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1612","description":"INJ GLUCAGON GVOKE 0.01 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, velaglucerase alfa, 100 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3385","description":"Injection, velaglucerase alfa, 100 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":408.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"STREP A AG IA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87430","description":"STREP A AG IA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"EpiFix, injectable, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4145","description":"EpiFix, injectable, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION IG IV NON-LYOPH 500 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1576","description":"INJECTION IG IV NON-LYOPH 500 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":70.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ EPLONTERSEN 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9311","description":"INJ EPLONTERSEN 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":961.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, follitropin alfa, 75 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0126","description":"Injection, follitropin alfa, 75 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":246.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, epoetin alfa, (for non-ESRD use), 1000 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0885","description":"Injection, epoetin alfa, (for non-ESRD use), 1000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, aldesleukin, per single use vial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9015","description":"Injection, aldesleukin, per single use vial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6737.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, medroxyprogesterone acetate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1050","description":"Injection, medroxyprogesterone acetate, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Bupropion HCl sustained release tablet, 150 mg, per bottle of 60 tablets","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0106","description":"Bupropion HCl sustained release tablet, 150 mg, per bottle of 60 tablets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":98.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ SACITUZUMB GOVITECN-HZIY 2.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9317","description":"INJ SACITUZUMB GOVITECN-HZIY 2.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":40.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"THERASKIN PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4121","description":"THERASKIN PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9539","description":"Technetium Tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"OASIS WOUND MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4102","description":"OASIS WOUND MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, acetaminophen, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0131","description":"Injection, acetaminophen, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Aprepitant, oral, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8501","description":"Aprepitant, oral, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90696","description":"DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":66.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, immune globulin, (Octagam), intravenous, nonlyophilized (e.g., liquid), 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1568","description":"Injection, immune globulin, (Octagam), intravenous, nonlyophilized (e.g., liquid), 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Ondansetron, oral, 4 mg (for circumstances falling under the Medicare statute, use HCPCS Q code)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0119","description":"Ondansetron, oral, 4 mg (for circumstances falling under the Medicare statute, use HCPCS Q code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ AFLIBERCEPT HD 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0177","description":"INJ AFLIBERCEPT HD 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":290.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"OASIS ULTRA TRI-LAY WND MATRX SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4124","description":"OASIS ULTRA TRI-LAY WND MATRX SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOAMP-MP PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4250","description":"AMNIOAMP-MP PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2422.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, bleomycin sulfate, 15 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9040","description":"Injection, bleomycin sulfate, 15 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59610","description":"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2700.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tacrolimus, immediate release, oral, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7507","description":"Tacrolimus, immediate release, oral, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FOSAPREPITANT NOT THR J1453 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1456","description":"INJ FOSAPREPITANT NOT THR J1453 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION RISPERIDONE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2799","description":"INJECTION RISPERIDONE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AM BUR XP MEM XPL HY P SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4364","description":"AM BUR XP MEM XPL HY P SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3149.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":107.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION NALOXONE ZIMHI 0.01MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2313","description":"INJECTION NALOXONE ZIMHI 0.01MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cromolyn sodium, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7631","description":"Cromolyn sodium, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, theophylline, per 40 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2810","description":"Injection, theophylline, per 40 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44394","description":"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":438.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97546","description":"Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0573","description":"Buprenorphine/naloxone, oral, greater than 3 mg, but less than or equal to 6 mg buprenorphine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, alprostadil, 1.25 mcg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0270","description":"Injection, alprostadil, 1.25 mcg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Sedimentation rate, erythrocyte; non-automated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85651","description":"Sedimentation rate, erythrocyte; non-automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90385","description":"Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43248","description":"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":243.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ARTESUNATE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0391","description":"INJECTION ARTESUNATE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GRANISETRON HCL 1 MG ORL NOT >48 HR DOSE REGIMEN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0166","description":"GRANISETRON HCL 1 MG ORL NOT >48 HR DOSE REGIMEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, tirofiban HCl, 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3246","description":"Injection, tirofiban HCl, 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ILOPROST 0.1 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1749","description":"INJ ILOPROST 0.1 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ NOGAPENDEKIN PMLN 1MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9028","description":"INJ NOGAPENDEKIN PMLN 1MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":94.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ziprasidone mesylate, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3486","description":"Injection, ziprasidone mesylate, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, rituximab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9312","description":"Injection, rituximab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, orphenadrine citrate, up to 60 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2360","description":"Injection, orphenadrine citrate, up to 60 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone, oral, per 4 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7509","description":"Methylprednisolone, oral, per 4 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BIO-CONNEKT WOUND MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4161","description":"BIO-CONNEKT WOUND MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2550.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, lanreotide, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1930","description":"Injection, lanreotide, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE ADRENALIN NT J0165","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0169","description":"INJ EPINEPHRINE ADRENALIN NT J0165","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, floxuridine, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9200","description":"Injection, floxuridine, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4762.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, quinupristin/dalfopristin, 500 mg (150/350)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2770","description":"Injection, quinupristin/dalfopristin, 500 mg (150/350)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":475.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9503","description":"Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ABRILADA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5145","description":"INJ ABRILADA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, imiglucerase, 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1786","description":"Injection, imiglucerase, 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, copanlisib, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9057","description":"Injection, copanlisib, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted modality (specify type and time if constant attendance)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97039","description":"Unlisted modality (specify type and time if constant attendance)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, blinatumomab, 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9039","description":"Injection, blinatumomab, 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":168.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9538","description":"Technetium Tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"IODINE I-131 IOBENGUANE 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9590","description":"IODINE I-131 IOBENGUANE 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":326.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99387","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cetuximab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9055","description":"Injection, cetuximab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":83.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Prothrombin time;","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85610","description":"Prothrombin time;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"IN PENTAMIDINE ISETHIONATE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2516","description":"IN PENTAMIDINE ISETHIONATE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PERPHENZAINE 4 MG ORAL NOT >48 HR DOSE REGIMEN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0175","description":"PERPHENZAINE 4 MG ORAL NOT >48 HR DOSE REGIMEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Elliotts' B solution, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9175","description":"Injection, Elliotts' B solution, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TIVIDENO ALFA-EKNM 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1757","description":"INJ TIVIDENO ALFA-EKNM 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BEREMAGENE GEPERPAVEC-SVDT TOP ADM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3401","description":"BEREMAGENE GEPERPAVEC-SVDT TOP ADM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1029.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BIOVANCE PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4154","description":"BIOVANCE PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":382.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps);","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59612","description":"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1850.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Antibody; HIV-1","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86701","description":"Antibody; HIV-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, peramivir, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2547","description":"Injection, peramivir, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11312","description":"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":101.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"VASOPRESSIN LONG GROVE 1 U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2596","description":"VASOPRESSIN LONG GROVE 1 U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FLORBETABEN F18 DX P DO TO 8.1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9983","description":"FLORBETABEN F18 DX P DO TO 8.1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1008.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43243","description":"Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":243.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CALCIUM GLUCON WG CRITICAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0613","description":"CALCIUM GLUCON WG CRITICAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ranibizumab, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2778","description":"Injection, ranibizumab, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67107","description":"REPAIR RETINAL DETACHMENT SCLERAL BUCKLING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1154.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Duplex scan of extracranial arteries; unilateral or limited study","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93882","description":"Duplex scan of extracranial arteries; unilateral or limited study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":180.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, clonidine HCl, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0735","description":"Injection, clonidine HCl, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tetanus immune globulin (TIg), human, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90389","description":"Tetanus immune globulin (TIg), human, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":668.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, filgrastim (G-CSF), excludes biosimilars, 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1442","description":"Injection, filgrastim (G-CSF), excludes biosimilars, 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RADIUM RA-223 DICHLORIDE TX PER UCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9606","description":"RADIUM RA-223 DICHLORIDE TX PER UCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":189.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ADALIMUMAB-ADBM 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5143","description":"INJ ADALIMUMAB-ADBM 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99214","description":"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, porfimer sodium, 75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9600","description":"Injection, porfimer sodium, 75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23789.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cefoxitin sodium, 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0694","description":"Injection, cefoxitin sodium, 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, tedizolid phosphate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3090","description":"Injection, tedizolid phosphate, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52265","description":"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":254.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Antithrombin III (human), per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7197","description":"Antithrombin III (human), per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"LANTHANUM CARBONATE PWDR 5MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0608","description":"LANTHANUM CARBONATE PWDR 5MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ NAFCILLIN SODIUM 20 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2290","description":"INJ NAFCILLIN SODIUM 20 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cabazitaxel, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9043","description":"Injection, cabazitaxel, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":226.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7318","description":"Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIPLY TOPICAL USE ONLY PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4249","description":"AMNIPLY TOPICAL USE ONLY PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1047.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NUDYN DL OR NUDYN DL MESH PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4285","description":"NUDYN DL OR NUDYN DL MESH PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":170.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Gonioscopy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92020","description":"Gonioscopy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION AMISULPRIDE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0184","description":"INJECTION AMISULPRIDE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"VIA MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4309","description":"VIA MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1785.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ACETAMINOPH 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0138","description":"INJECTION ACETAMINOPH 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99383","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9582","description":"Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7815.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3240","description":"Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2236.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pertuzumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9306","description":"Injection, pertuzumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RSV VACC PREF RECOMB ADJT IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90679","description":"RSV VACC PREF RECOMB ADJT IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":346.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Zoster (shingles) vaccine (HZV), recombinant, sub-unit, adjuvanted, for intramuscular injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90750","description":"Zoster (shingles) vaccine (HZV), recombinant, sub-unit, adjuvanted, for intramuscular injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":262.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DAP NOT THER EQV TO J0878 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0877","description":"INJ DAP NOT THER EQV TO J0878 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, methylergonovine maleate, up to 0.2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2210","description":"Injection, methylergonovine maleate, up to 0.2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Sodium phosphate P-32, therapeutic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9563","description":"Sodium phosphate P-32, therapeutic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":310.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66983","description":"Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":655.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99386","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ACETAMINOPHEN B BRAUN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0136","description":"INJ ACETAMINOPHEN B BRAUN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ARMLUPEG 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5169","description":"INJ ARMLUPEG 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":519.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9960","description":"High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ZOPAPOGENE PER THER DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3404","description":"INJ ZOPAPOGENE PER THER DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":114030.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CYCLOSPORINE 250 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7516","description":"INJ CYCLOSPORINE 250 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, naxitamab-gqgk, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9348","description":"Injection, naxitamab-gqgk, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":685.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, morphine sulfate, up to 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2270","description":"Injection, morphine sulfate, up to 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CHLOROPROCAINE HCL OPHT 3% GEL 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2403","description":"CHLOROPROCAINE HCL OPHT 3% GEL 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor VIII, (antihemophilic factor, recombinant), (NovoEight), per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7182","description":"Injection, factor VIII, (antihemophilic factor, recombinant), (NovoEight), per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INST TAURO 1.35MG/HEP 100U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0911","description":"INST TAURO 1.35MG/HEP 100U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CIPAGLUCOSIDASE 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1203","description":"INJ CIPAGLUCOSIDASE 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":96.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"USTEKINUMAB-TTWE IV INJ 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9997","description":"USTEKINUMAB-TTWE IV INJ 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"I FUL FRSNS KB NO TX EQ J9395 25MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9394","description":"I FUL FRSNS KB NO TX EQ J9395 25MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m tetrofosmin, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9502","description":"Technetium Tc-99m tetrofosmin, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":99.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, omadacycline, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0121","description":"Injection, omadacycline, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Factor VIII (antihemophilic factor, human) per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7190","description":"Factor VIII (antihemophilic factor, human) per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CHLOROPROCAINE HYDROCHL PER 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2401","description":"INJ CHLOROPROCAINE HYDROCHL PER 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gamma globulin, intramuscular, 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1460","description":"Injection, gamma globulin, intramuscular, 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":53.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, protamine sulfate, per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2720","description":"Injection, protamine sulfate, per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, phentolamine mesylate, up to 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2760","description":"Injection, phentolamine mesylate, up to 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":322.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ COAG FAC XA INACTV-ZHZO 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7169","description":"INJ COAG FAC XA INACTV-ZHZO 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":127.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hydralazine HCl, up to 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0360","description":"Injection, hydralazine HCl, up to 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Arformoterol, inhalation solution, FDA approved final product, noncompounded, administered through DME, unit dose form, 15 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7605","description":"Arformoterol, inhalation solution, FDA approved final product, noncompounded, administered through DME, unit dose form, 15 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90748","description":"Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ IVIG PRIVIGEN 500 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1459","description":"INJ IVIG PRIVIGEN 500 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":53.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90473","description":"Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CEFOTETAN DISODIUM 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0525","description":"INJ CEFOTETAN DISODIUM 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90586","description":"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":204.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DLNDSTRGN MOXPRVVC-ROKL Q THR D","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1413","description":"INJ DLNDSTRGN MOXPRVVC-ROKL Q THR D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3200490.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90647","description":"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dalbavancin, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0875","description":"Injection, dalbavancin, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tamoxifen citrate, oral, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0187","description":"Tamoxifen citrate, oral, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEG-PBBK FYLNETRA BS 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5130","description":"INJ PEG-PBBK FYLNETRA BS 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":94.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1610.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, tocilizumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3262","description":"Injection, tocilizumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83861","description":"Microfluidic analysis utilizing an integrated collection and analysis device, tear osmolarity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":18.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECT PLASMINOGEN HUMAN-TVMH 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2998","description":"INJECT PLASMINOGEN HUMAN-TVMH 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":40.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1952","description":"LEUPROLIDE INJECTABLE CAMCEVI, 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5101","description":"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; ultrasound, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97035","description":"Application of a modality to 1 or more areas; ultrasound, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, verteporfin, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3396","description":"Injection, verteporfin, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Antiinhibitor, per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7198","description":"Antiinhibitor, per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose/water (500 ml = 1 unit)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7060","description":"5% dextrose/water (500 ml = 1 unit)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92265","description":"Needle oculoelectromyography, 1 or more extraocular muscles, 1 or both eyes, with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CROVALIMAB-AKKZ 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1307","description":"INJ CROVALIMAB-AKKZ 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":525.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gemtuzumab ozogamicin, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9203","description":"Injection, gemtuzumab ozogamicin, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":268.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DERMACELL DERMACELL AWM/POROUS P SC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4122","description":"DERMACELL DERMACELL AWM/POROUS P SC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":102.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION CEFIDEROCOL 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0699","description":"INJECTION CEFIDEROCOL 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ RBZ VIA IVT I SUSVIMO 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2779","description":"INJ RBZ VIA IVT I SUSVIMO 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"METHOTREXATE JYLAMVO ORAL 2.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8611","description":"METHOTREXATE JYLAMVO ORAL 2.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82962","description":"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Rolapitant, oral, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8670","description":"Rolapitant, oral, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Revefenacin inhalation solution, FDA-approved final product, noncompounded, administered through DME, 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7677","description":"Revefenacin inhalation solution, FDA-approved final product, noncompounded, administered through DME, 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (RIV4), 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":"90682","description":"Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BRIXADI MORE THAN 7 DAY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0578","description":"INJ BRIXADI MORE THAN 7 DAY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1732.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BREXUCABTAGENE CAR POS V T CELL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2053","description":"BREXUCABTAGENE CAR POS V T CELL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":507241.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"OBECBTGE AUTOL UP TO 400 MIL CD19","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2058","description":"OBECBTGE AUTOL UP TO 400 MIL CD19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":279870.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of esophagus, over guide wire","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43453","description":"Dilation of esophagus, over guide wire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor VIII (antihemophilic factor, recombinant) (Xyntha), per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7185","description":"Injection, factor VIII (antihemophilic factor, recombinant) (Xyntha), per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Microporous collagen implantable tube (NeuraGen Nerve Guide), per cm length","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9352","description":"Microporous collagen implantable tube (NeuraGen Nerve Guide), per cm length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":548.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dimenhydrinate, up to 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1240","description":"Injection, dimenhydrinate, up to 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"EPINEPHRINE IN NACL BAXTER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0164","description":"EPINEPHRINE IN NACL BAXTER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Sipuleucel-T, minimum of 50 million autologous cd54+ cells activated with PAP-GM-CSF, including leukapheresis and all other preparatory procedures, per infusion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2043","description":"Sipuleucel-T, minimum of 50 million autologous cd54+ cells activated with PAP-GM-CSF, including leukapheresis and all other preparatory procedures, per infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":53037.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HYAL/DERV HYLGN/SUPRTZ IA INJ PER D","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7321","description":"HYAL/DERV HYLGN/SUPRTZ IA INJ PER D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, risperidone, (perseris), 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2798","description":"Injection, risperidone, (perseris), 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ACETAMINOPHEN HIKMA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0137","description":"INJ ACETAMINOPHEN HIKMA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0791","description":"INJECTION CRIZANLIZUMAB-TMCA 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":129.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ARCHITECT EXTRACELLULAR MATRIX PER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4147","description":"ARCHITECT EXTRACELLULAR MATRIX PER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1338.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ravulizumab-cwvz, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1303","description":"Injection, ravulizumab-cwvz, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":215.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"65260","description":"Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":935.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":193.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85027","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-BNHT 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5158","description":"INJ DENOSUMAB-BNHT 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Puncture aspiration of abscess, hematoma, bulla, or cyst","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"10160","description":"Puncture aspiration of abscess, hematoma, bulla, or cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":94.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ HEPARIN SODI NOT TX J1644/1000U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1643","description":"INJ HEPARIN SODI NOT TX J1644/1000U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pegfilgrastim-cbqv, biosimilar, (udenyca), 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5111","description":"Injection, pegfilgrastim-cbqv, biosimilar, (udenyca), 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":135.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Ascent, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4213","description":"Ascent, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Etonogestrel (contraceptive) implant system, including implant and supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7307","description":"Etonogestrel (contraceptive) implant system, including implant and supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1530.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97113","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FULVESTRANT TEVA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9393","description":"INJ FULVESTRANT TEVA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82274","description":"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FVIII/VWD FA CMPLX R Q FVIII IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7214","description":"INJ FVIII/VWD FA CMPLX R Q FVIII IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, sargramostim (GM-CSF), 50 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2820","description":"Injection, sargramostim (GM-CSF), 50 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"COLL-E-DERM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4193","description":"COLL-E-DERM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1989.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ REMESTEMCEL-L-RKND/TD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3402","description":"INJ REMESTEMCEL-L-RKND/TD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":192624.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"THERAMEND PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4342","description":"THERAMEND PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3570.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, benralizumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0517","description":"Injection, benralizumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":179.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99205","description":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":114.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Bilirubin; total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82247","description":"Bilirubin; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SURGRAFT XT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4269","description":"SURGRAFT XT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1104.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Japanese encephalitis virus vaccine, inactivated, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90738","description":"Japanese encephalitis virus vaccine, inactivated, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":327.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NEOMATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2021","description":"NEOMATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1423.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, propranolol HCl, up to 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1800","description":"Injection, propranolol HCl, up to 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, paclitaxel protein-bound particles, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9264","description":"Injection, paclitaxel protein-bound particles, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, taliglucerace alfa, 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3060","description":"Injection, taliglucerace alfa, 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, Euflexxa, for intra-articular injection, per dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7323","description":"Hyaluronan or derivative, Euflexxa, for intra-articular injection, per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":103.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cosyntropin, 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0834","description":"Injection, cosyntropin, 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Antibody; mumps","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86735","description":"Antibody; mumps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"WOUNDEX BIOSKIN PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4163","description":"WOUNDEX BIOSKIN PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":423.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TALQUETAMAB-TGVS 0.25 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3055","description":"INJ TALQUETAMAB-TGVS 0.25 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":76.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gemcitabine HCl, 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9201","description":"Injection, gemcitabine HCl, 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION EPINEPHRINE NOS 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0165","description":"INJECTION EPINEPHRINE NOS 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Anthrax vaccine, for subcutaneous or intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90581","description":"Anthrax vaccine, for subcutaneous or intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":106.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43259","description":"EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":243.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Antibody; HIV-1 and HIV-2, single result","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86703","description":"Antibody; HIV-1 and HIV-2, single result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMCHOPLAST PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4316","description":"AMCHOPLAST PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3395.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, thiamine HCl, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3411","description":"Injection, thiamine HCl, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17312","description":"MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":268.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, eteplirsen, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1428","description":"Injection, eteplirsen, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":163.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pembrolizumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9271","description":"Injection, pembrolizumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CLEVIDEPINE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0759","description":"INJ CLEVIDEPINE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, C1 esterase inhibitor (recombinant), Ruconest, 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0596","description":"Injection, C1 esterase inhibitor (recombinant), Ruconest, 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, nalbuphine HCl, per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2300","description":"Injection, nalbuphine HCl, per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Dacarbazine, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9130","description":"Dacarbazine, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, durvalumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9173","description":"Injection, durvalumab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Complex cystometrogram (ie, calibrated electronic equipment);","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51726","description":"Complex cystometrogram (ie, calibrated electronic equipment);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":287.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7308","description":"Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":423.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9541","description":"Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, progesterone, per 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2675","description":"Injection, progesterone, per 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HYA/DER HYMOVS/HYMOVS 1 IA INJ 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7322","description":"HYA/DER HYMOVS/HYMOVS 1 IA INJ 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"EXTRACTION","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"10040","description":"EXTRACTION","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Insulin for administration through DME (i.e., insulin pump) per 50 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1817","description":"Insulin for administration through DME (i.e., insulin pump) per 50 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67105","description":"Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":655.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pralidoxime chloride, up to 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2730","description":"Injection, pralidoxime chloride, up to 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, emicizumab-kxwh, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7170","description":"Injection, emicizumab-kxwh, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CAREGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4322","description":"CAREGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2014.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, penicillin G procaine, aqueous, up to 600,000 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2510","description":"Injection, penicillin G procaine, aqueous, up to 600,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Lomustine, oral, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0178","description":"Lomustine, oral, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":117.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Potassium; serum, plasma or whole blood","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84132","description":"Potassium; serum, plasma or whole blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"31231","description":"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":114.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, agalsidase beta, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0180","description":"Injection, agalsidase beta, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":239.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AFAMELANOTIDE IMPLANT 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7352","description":"AFAMELANOTIDE IMPLANT 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3780.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"APPL MODALITY 1+LLLT PO PAIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97037","description":"APPL MODALITY 1+LLLT PO PAIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11641","description":"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":231.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; contrast baths, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97034","description":"Application of a modality to 1 or more areas; contrast baths, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CORPLEX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4232","description":"CORPLEX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1417.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, triluron, for intraarticular injection, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7332","description":"Hyaluronan or derivative, triluron, for intraarticular injection, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, palifermin, 50 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2425","description":"Injection, palifermin, 50 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ HUMAN-LANS PER I.U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7165","description":"INJ HUMAN-LANS PER I.U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TEBENTAFUSP-TEBN 1 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9274","description":"INJECTION TEBENTAFUSP-TEBN 1 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":220.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"LAMELLAS XT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4291","description":"LAMELLAS XT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1275.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4262","description":"DUAL LAYER IMPAX MEMBRANE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1377.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7674","description":"Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INSL LYUMJEV ADM THRU DME PER 50 U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1813","description":"INSL LYUMJEV ADM THRU DME PER 50 U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle or intracatheter, vein","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36000","description":"Introduction of needle or intracatheter, vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ZYMFENTRA 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1748","description":"INJ ZYMFENTRA 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":284.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FOSCARB 0.25 FOSLEVODOPA 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7356","description":"INJ FOSCARB 0.25 FOSLEVODOPA 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 3MCG TRS-SUC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91318","description":"SARSCOV2 VAC 3MCG TRS-SUC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MEMODERM TRANZGRAFT/INTEGUPLY SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4126","description":"MEMODERM TRANZGRAFT/INTEGUPLY SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, incobotulinumtoxinA, 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0588","description":"Injection, incobotulinumtoxinA, 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11402","description":"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":180.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97130","description":"THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89060","description":"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, icatibant, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1744","description":"Injection, icatibant, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":360.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, lincomycin HCl, up to 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2010","description":"Injection, lincomycin HCl, up to 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DRONABINOL 2.5 MG ORAL NOT >48 HR DOSE REGIMEN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0167","description":"DRONABINOL 2.5 MG ORAL NOT >48 HR DOSE REGIMEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11057","description":"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Release of extensive scar tissue without detaching extraocular muscle (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67343","description":"Release of extensive scar tissue without detaching extraocular muscle (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":660.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Temozolomide, oral, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8700","description":"Temozolomide, oral, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GAMMAGARD LIQUID/ERC INJ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1569","description":"GAMMAGARD LIQUID/ERC INJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":53.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43251","description":"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":243.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEVOTHYROXINE FRESKABI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0651","description":"INJ LEVOTHYROXINE FRESKABI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Postpartum care only (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59430","description":"Postpartum care only (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90736","description":"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":229.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, magnesium sulfate, per 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3475","description":"Injection, magnesium sulfate, per 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, brexanolone, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1632","description":"Injection, brexanolone, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":152.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ciprofloxacin for intravenous infusion, 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0744","description":"Injection, ciprofloxacin for intravenous infusion, 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Factor VIII, (antihemophilic factor, recombinant), (Afstyla), 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7210","description":"Injection, Factor VIII, (antihemophilic factor, recombinant), (Afstyla), 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, erythromycin lactobionate, per 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1364","description":"Injection, erythromycin lactobionate, per 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":174.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DATOPOTAMAB DERUXTECAN 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9011","description":"DATOPOTAMAB DERUXTECAN 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, nesiritide, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2325","description":"Injection, nesiritide, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FLEXHD OR ALLOPATCHHD PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4128","description":"FLEXHD OR ALLOPATCHHD PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97112","description":"THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ IMMPHENTIV 20 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2373","description":"INJ IMMPHENTIV 20 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB STBA STEQEYMA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5099","description":"INJ USTEKINUMAB STBA STEQEYMA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ACETAMINOPHEN -FRESENIUS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0134","description":"INJ ACETAMINOPHEN -FRESENIUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ESANO A PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4272","description":"ESANO A PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":297.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, moxetumomab pasudotox-tdfk, 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9313","description":"Injection, moxetumomab pasudotox-tdfk, 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MELPHALAN HEPZATO 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9248","description":"INJ MELPHALAN HEPZATO 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":797.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Methadone, oral, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0109","description":"Methadone, oral, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97535","description":"SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MIGLUSTAT ORAL 65 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1202","description":"MIGLUSTAT ORAL 65 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AZTREONAM/AVIBACTAM 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0458","description":"AZTREONAM/AVIBACTAM 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cabergoline, oral, 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8515","description":"Cabergoline, oral, 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Anastrozole, oral, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0170","description":"Anastrozole, oral, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION COR ANI UP TO 40 UNITS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0802","description":"INJECTION COR ANI UP TO 40 UNITS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3646.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine, oral, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0571","description":"Buprenorphine, oral, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Xenon Xe-133 gas, diagnostic, per 10 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9558","description":"Xenon Xe-133 gas, diagnostic, per 10 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":268.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION COR ACTHAR GEL UP TO 40 U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0801","description":"INJECTION COR ACTHAR GEL UP TO 40 U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4214.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Loxapine for inhalation, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2062","description":"Loxapine for inhalation, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PER TMAB & HYAL-ZZXF PER 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9316","description":"INJ PER TMAB & HYAL-ZZXF PER 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90714","description":"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, nivolumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9299","description":"Injection, nivolumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90746","description":"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GEMCITABINE INTRAVESICAL SYS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9183","description":"GEMCITABINE INTRAVESICAL SYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69608.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, trastuzumab, excludes biosimilar, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9355","description":"Injection, trastuzumab, excludes biosimilar, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ AXATILIMAB CSFR 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9038","description":"INJ AXATILIMAB CSFR 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Centruroides immune f(ab)2, up to 120 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0716","description":"Injection, Centruroides immune f(ab)2, up to 120 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5449.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 pentetate, diagnostic, per 0.5 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9548","description":"Indium In-111 pentetate, diagnostic, per 0.5 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":903.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ofatumumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9302","description":"Injection, ofatumumab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, von Willebrand factor complex (Humate-P), per IU VWF:RCO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7187","description":"Injection, von Willebrand factor complex (Humate-P), per IU VWF:RCO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, intralesional; more than 7 lesions","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11901","description":"Injection, intralesional; more than 7 lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Factor VIII, (antihemophilic factor, recombinant), PEGylated-aucl, (Jivi), 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7208","description":"Injection, Factor VIII, (antihemophilic factor, recombinant), PEGylated-aucl, (Jivi), 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ NAFCILLIN BAXTER 20MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2291","description":"INJ NAFCILLIN BAXTER 20MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Goserelin acetate implant, per 3.6 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9202","description":"Goserelin acetate implant, per 3.6 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1414.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor IX, (antihemophilic factor, recombinant), Rixubis, per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7200","description":"Injection, factor IX, (antihemophilic factor, recombinant), Rixubis, per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, caspofungin acetate, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0637","description":"Injection, caspofungin acetate, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DAPTOMYCIN UNREFRIG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0872","description":"DAPTOMYCIN UNREFRIG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7179","description":"Injection, von Willebrand factor (recombinant), (Vonvendi), 1 IU VWF:RCo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, mitomycin, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9280","description":"Injection, mitomycin, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":37.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Minoxidil, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0139","description":"Minoxidil, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BELANTAMAB MAFODOT BLMF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9053","description":"INJ BELANTAMAB MAFODOT BLMF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CHLORPROMAZINE HYDROCHLORIDE 5 MG ORAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0161","description":"CHLORPROMAZINE HYDROCHLORIDE 5 MG ORAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ AFLIBERCEPT-JBVF 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5155","description":"INJ AFLIBERCEPT-JBVF 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":736.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION NICARDIPINE 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2404","description":"INJECTION NICARDIPINE 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HIV AG W/HIV1&2 ANTB W/OPTIC","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87806","description":"HIV AG W/HIV1&2 ANTB W/OPTIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90713","description":"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FACTOR VIIA-JNCW 1 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7212","description":"FACTOR VIIA-JNCW 1 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ AVALGLUCOSIDASE ALFA-NGPT 4 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0219","description":"INJ AVALGLUCOSIDASE ALFA-NGPT 4 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MICROMATRIX FLEX PER MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2028","description":"MICROMATRIX FLEX PER MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Histrelin implant (Supprelin LA), 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9226","description":"Histrelin implant (Supprelin LA), 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35695.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97166","description":"OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92507","description":"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, avelumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9023","description":"Injection, avelumab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":118.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, alglucosidase alfa, 10 mg, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0220","description":"Injection, alglucosidase alfa, 10 mg, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":214.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ RIFAMPIN 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2804","description":"INJ RIFAMPIN 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RIBOFLAVIN PHOTREXA/VISCOUS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2787","description":"RIBOFLAVIN PHOTREXA/VISCOUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2325.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, nusinersen, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2326","description":"Injection, nusinersen, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1290.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9030","description":"BCG LIVE INTRAVESICAL INSTILLATION 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"OFF/OP EST MAY X REQ PHY/QHP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99211","description":"OFF/OP EST MAY X REQ PHY/QHP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, chorionic gonadotropin, per 1,000 USP units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0725","description":"Injection, chorionic gonadotropin, per 1,000 USP units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEGFILGRASTIM-APGF BS 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5122","description":"INJ PEGFILGRASTIM-APGF BS 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":145.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, metoclopramide HCl, up to 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2765","description":"Injection, metoclopramide HCl, up to 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7686","description":"Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":900.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fosphenytoin, 50 mg phenytoin equivalent","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2009","description":"Injection, fosphenytoin, 50 mg phenytoin equivalent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Capsaicin 8% patch, per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7336","description":"Capsaicin 8% patch, per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DEN AUK/BOS BIO 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5161","description":"INJ DEN AUK/BOS BIO 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadoterate meglumine, 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9575","description":"Injection, gadoterate meglumine, 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7613","description":"Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN XEMBIFY 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1558","description":"INJ IMMUNE GLOBULIN XEMBIFY 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SUZETRIGINE ORL 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9818","description":"SUZETRIGINE ORL 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, doxorubicin HCl, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9000","description":"Injection, doxorubicin HCl, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 50 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99222","description":"INITIAL HOSPITAL CARE/DAY 50 MINUTES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy, flexible; with removal of foreign body(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45379","description":"Colonoscopy, flexible; with removal of foreign body(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":438.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FESILTY 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7176","description":"INJ FESILTY 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIO QUAD-CORE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4294","description":"AMNIO QUAD-CORE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3085.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ SODIUM THIOSULFATE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0209","description":"INJ SODIUM THIOSULFATE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, nelarabine, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9261","description":"Injection, nelarabine, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CORPL P THERAC P ALLAC P MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2035","description":"CORPL P THERAC P ALLAC P MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":96.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, regadenoson, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2785","description":"Injection, regadenoson, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INSULIN FIASP PER 5 UNITS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1812","description":"INSULIN FIASP PER 5 UNITS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FERRIC CITRATE ORL 3 MG IRON","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0609","description":"FERRIC CITRATE ORL 3 MG IRON","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body, upper arm or elbow area; subcutaneous","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"24200","description":"Removal of foreign body, upper arm or elbow area; subcutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":328.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81003","description":"URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cilastatin sodium; imipenem, per 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0743","description":"Injection, cilastatin sodium; imipenem, per 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gamma globulin, intramuscular, over 10 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1560","description":"Injection, gamma globulin, intramuscular, over 10 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":128.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, GELSYN-3, for intra-articular injection, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7328","description":"Hyaluronan or derivative, GELSYN-3, for intra-articular injection, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RESTORIGIN PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4191","description":"RESTORIGIN PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1487.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor XIII A-subunit, (recombinant), per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7181","description":"Injection, factor XIII A-subunit, (recombinant), per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FLURPIRIDAZ F18 DIAG 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9611","description":"FLURPIRIDAZ F18 DIAG 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":510.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tretinoin, topical, 5 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0117","description":"Tretinoin, topical, 5 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, darbepoetin alfa, 1 mcg (non-ESRD use)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0881","description":"Injection, darbepoetin alfa, 1 mcg (non-ESRD use)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, methocarbamol, up to 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2800","description":"Injection, methocarbamol, up to 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0575","description":"Buprenorphine/naloxone, oral, greater than 10 mg buprenorphine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, tigecycline, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3243","description":"Injection, tigecycline, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FOSFOMYCIN DISODIUM 20MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0528","description":"INJ FOSFOMYCIN DISODIUM 20MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GRAFIX CORE & GRAFIXPL CORE-SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4132","description":"GRAFIX CORE & GRAFIXPL CORE-SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":479.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cholera vaccine, live, adult dosage, 1 dose schedule, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90625","description":"Cholera vaccine, live, adult dosage, 1 dose schedule, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":327.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hydrocortisone sodium succinate, up to 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1720","description":"Injection, hydrocortisone sodium succinate, up to 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dicyclomine HCl, up to 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0500","description":"Injection, dicyclomine HCl, up to 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9569","description":"Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1748.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MITOMYCIN INTRAVESICAL INST","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9282","description":"MITOMYCIN INTRAVESICAL INST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":264.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Skin test; histoplasmosis","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86510","description":"Skin test; histoplasmosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GRAFTJACKET PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4107","description":"GRAFTJACKET PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":100.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, bortezomib (Velcade), 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9041","description":"Injection, bortezomib (Velcade), 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ IMMUNE GLOBULIN CUTAQUIG 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1551","description":"INJ IMMUNE GLOBULIN CUTAQUIG 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION WEZLANA SUB CU 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5137","description":"INJECTION WEZLANA SUB CU 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":63.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, micafungin sodium, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2248","description":"Injection, micafungin sodium, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cyclosporine, oral, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7515","description":"Cyclosporine, oral, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43255","description":"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":243.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97533","description":"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ RBZ-NUNA BIOSIM BYOOVIZ 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5124","description":"INJ RBZ-NUNA BIOSIM BYOOVIZ 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":249.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, brentuximab vedotin, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9042","description":"Injection, brentuximab vedotin, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":267.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90677","description":"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":342.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, diazepam, up to 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3360","description":"Injection, diazepam, up to 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, daunorubicin, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9150","description":"Injection, daunorubicin, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MOST PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4328","description":"MOST PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3440.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, morphine sulfate, 500 mg (loading dose for infusion pump)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0093","description":"Injection, morphine sulfate, 500 mg (loading dose for infusion pump)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION METRONIDAZOLE 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1836","description":"INJECTION METRONIDAZOLE 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LNCSTUXMB TESIRIN-LPYL 0.075 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9359","description":"INJ LNCSTUXMB TESIRIN-LPYL 0.075 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":226.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, siltuximab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2860","description":"Injection, siltuximab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":174.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ACESSO AC PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4312","description":"ACESSO AC PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2411.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, digoxin immune fab (ovine), per vial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1162","description":"Injection, digoxin immune fab (ovine), per vial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6196.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SUCROFERRIC OXYHYDROXIDE 5MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0605","description":"SUCROFERRIC OXYHYDROXIDE 5MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82272","description":"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CV STRESS TEST SUPVJ ONLY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93016","description":"CV STRESS TEST SUPVJ ONLY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cerliponase alfa, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0567","description":"Injection, cerliponase alfa, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":124.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44386","description":"Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":341.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7203","description":"Injection factor ix, (antihemophilic factor, recombinant), glycopegylated, (rebinyn), 1 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, rolapitant, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2797","description":"Injection, rolapitant, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tacrolimus, parenteral, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7525","description":"Tacrolimus, parenteral, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":262.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ERZOFRI 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2428","description":"INJ ERZOFRI 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CHLOROPROCAINE HYDROCH CLOR/1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2402","description":"INJ CHLOROPROCAINE HYDROCH CLOR/1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Dornase alfa, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7639","description":"Dornase alfa, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0010","description":"HCPCS-A0010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INSL FIASP ADM THRU DME PER 50 U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1811","description":"INSL FIASP ADM THRU DME PER 50 U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, protein C concentrate, intravenous, human, 10 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2724","description":"Injection, protein C concentrate, intravenous, human, 10 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ceftaroline fosamil, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0712","description":"Injection, ceftaroline fosamil, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, atropine sulfate, 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0461","description":"Injection, atropine sulfate, 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOTEXT PATCH PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4247","description":"AMNIOTEXT PATCH PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3128.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED ACCORD 10MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9296","description":"INJ PEMETREXED ACCORD 10MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, margetuximab-cmkb, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9353","description":"Injection, margetuximab-cmkb, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hyoscyamine sulfate, up to 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1980","description":"Injection, hyoscyamine sulfate, up to 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":34.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, DMSO, dimethyl sulfoxide, 50%, 50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1212","description":"Injection, DMSO, dimethyl sulfoxide, 50%, 50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":812.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, terbutaline sulfate, up to 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3105","description":"Injection, terbutaline sulfate, up to 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83516","description":"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":164.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ATIDARSAGENE AUTOTEMCEL PER TX","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3391","description":"INJ ATIDARSAGENE AUTOTEMCEL PER TX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4250490.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION BROLUCIZUMAB-DBLL 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0179","description":"INJECTION BROLUCIZUMAB-DBLL 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":360.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Simple cystometrogram (CMG) (eg, spinal manometer)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51725","description":"Simple cystometrogram (CMG) (eg, spinal manometer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":287.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Chlorambucil, oral, 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0172","description":"Chlorambucil, oral, 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":606.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BEVACIZUMAB-BVZR BIOSIMLR 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5118","description":"INJ BEVACIZUMAB-BVZR BIOSIMLR 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, triamcinolone acetonide, not otherwise specified, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3301","description":"Injection, triamcinolone acetonide, not otherwise specified, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION, DOSTARLIMAB-GXLY 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9272","description":"INJECTION, DOSTARLIMAB-GXLY 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":246.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, irinotecan liposome, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9205","description":"Injection, irinotecan liposome, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":72.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52010","description":"Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":254.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PANTOPRAZOLE HIKMA 40MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2471","description":"INJ PANTOPRAZOLE HIKMA 40MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ferric carboxymaltose, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1439","description":"Injection, ferric carboxymaltose, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NOVAFIX DL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4254","description":"NOVAFIX DL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":408.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CONCIZUMAB-MTCI 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7173","description":"INJ CONCIZUMAB-MTCI 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":83.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9537","description":"Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Azithromycin dihydrate, oral, capsules/powder, 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0144","description":"Azithromycin dihydrate, oral, capsules/powder, 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36400","description":"VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEGFILGRASTIM EXC BIOSIM 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2506","description":"INJ PEGFILGRASTIM EXC BIOSIM 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":201.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"XWRAP DUAL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4358","description":"XWRAP DUAL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5893.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HIV PREP ORAL LENACAPAVIR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0752","description":"HIV PREP ORAL LENACAPAVIR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":617.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ALLOSKIN RT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4123","description":"ALLOSKIN RT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, methadone HCl, up to 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1230","description":"Injection, methadone HCl, up to 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEVOTHYROXINE NOS 10MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0650","description":"INJ LEVOTHYROXINE NOS 10MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadofosveset trisodium, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9583","description":"Injection, gadofosveset trisodium, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, epoetin alfa, 100 units (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4081","description":"Injection, epoetin alfa, 100 units (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90284","description":"Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy through stoma; with removal of foreign body(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44390","description":"Colonoscopy through stoma; with removal of foreign body(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":390.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hyaluronidase, up to 150 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3470","description":"Injection, hyaluronidase, up to 150 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, alpha 1 proteinase inhibitor (human), (GLASSIA), 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0257","description":"Injection, alpha 1 proteinase inhibitor (human), (GLASSIA), 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procedure(s), group (2 or more individuals)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97150","description":"Therapeutic procedure(s), group (2 or more individuals)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FLUTEMETAML F18 DX STDY DO TO 5 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9982","description":"FLUTEMETAML F18 DX STDY DO TO 5 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3564.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, immune globulin (Bivigam), 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1556","description":"Injection, immune globulin (Bivigam), 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ SIROLIMUS PRT-BOUND PSL 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9331","description":"INJ SIROLIMUS PRT-BOUND PSL 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11055","description":"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FLOWERAMNIOPATCH PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4178","description":"FLOWERAMNIOPATCH PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":191.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FLORTAUCIPIR F18 INJ 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9601","description":"FLORTAUCIPIR F18 INJ 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3570.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Chromic phosphate P-32 suspension, therapeutic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9564","description":"Chromic phosphate P-32 suspension, therapeutic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":296.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99394","description":"PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2932.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION COSIBELIMAB IPDL 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9275","description":"INJECTION COSIBELIMAB IPDL 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, emapalumab-lzsg, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9210","description":"Injection, emapalumab-lzsg, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":425.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PalinGen or ProMatrX, 0.36 mg per 0.25 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4174","description":"PalinGen or ProMatrX, 0.36 mg per 0.25 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1361.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fluphenazine decanoate, up to 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2680","description":"Injection, fluphenazine decanoate, up to 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Strabismus surgery, recession or resection procedure; 2 horizontal muscles","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67312","description":"Strabismus surgery, recession or resection procedure; 2 horizontal muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":660.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Prednisolone, oral, per 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7510","description":"Prednisolone, oral, per 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, epoetin alfa, biosimilar, (retacrit) (for esrd on dialysis), 100 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5105","description":"Injection, epoetin alfa, biosimilar, (retacrit) (for esrd on dialysis), 100 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, epoetin beta, 1 microgram, (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0887","description":"Injection, epoetin beta, 1 microgram, (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cladribine, per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9065","description":"Injection, cladribine, per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED TEVA 10MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9314","description":"INJ PEMETREXED TEVA 10MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TOCILIZUMAB-AAZG HOSPI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0238","description":"INJ TOCILIZUMAB-AAZG HOSPI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93320","description":"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":84.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"COPPER CU-64 DOTATATE DIAGNOSTIC 1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9592","description":"COPPER CU-64 DOTATATE DIAGNOSTIC 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1032.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Skin test; unlisted antigen, each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86486","description":"Skin test; unlisted antigen, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Drainage external ear, abscess or hematoma; simple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"69000","description":"Drainage external ear, abscess or hematoma; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":148.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ARIPIRAZOLE LAUROXIL 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1944","description":"ARIPIRAZOLE LAUROXIL 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97153","description":"ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11302","description":"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":85.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3304","description":"Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2737.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Finasteride, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0138","description":"Finasteride, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ VANCOMYCIN HIKMA 10MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3376","description":"INJ VANCOMYCIN HIKMA 10MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HYDROXOCOBALAMIN IM 10 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3425","description":"HYDROXOCOBALAMIN IM 10 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Alprostadil urethral suppository (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0275","description":"Alprostadil urethral suppository (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":70.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66820","description":"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":531.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MORPHINE FRESENIUS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2272","description":"INJ MORPHINE FRESENIUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BZ HOSPIRA NO TX EQ J9041 0.1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9049","description":"INJ BZ HOSPIRA NO TX EQ J9041 0.1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA NOS 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9342","description":"INJECTION THIOTEPA NOS 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor VIII, (antihemophilic factor, recombinant), PEGylated, 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7207","description":"Injection, factor VIII, (antihemophilic factor, recombinant), PEGylated, 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CABOTEGRAVIR 1 MG FDA-APPD PRSC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0739","description":"INJ CABOTEGRAVIR 1 MG FDA-APPD PRSC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"VIM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4251","description":"VIM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, droperidol, up to 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1790","description":"Injection, droperidol, up to 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, von Willebrand factor complex (human), Wilate, 1 IU vWF:RCo","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7183","description":"Injection, von Willebrand factor complex (human), Wilate, 1 IU vWF:RCo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ARGATROBAN NOT TX EQV J0883 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0898","description":"INJ ARGATROBAN NOT TX EQV J0883 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85025","description":"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99215","description":"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, iron sucrose, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1756","description":"Injection, iron sucrose, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ GANCICLOVIR EXELA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1574","description":"INJ GANCICLOVIR EXELA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Sirolimus, oral, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7520","description":"Sirolimus, oral, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87210","description":"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cefazolin sodium, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0690","description":"Injection, cefazolin sodium, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dexamethasone 9 percent, intraocular, 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1095","description":"Injection, dexamethasone 9 percent, intraocular, 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor IX, Fc fusion protein, (recombinant), Alprolix, 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7201","description":"Injection, factor IX, Fc fusion protein, (recombinant), Alprolix, 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Zidovudine, oral, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0104","description":"Zidovudine, oral, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, rituximab 10 mg and hyaluronidase","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9311","description":"Injection, rituximab 10 mg and hyaluronidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":37.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90723","description":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":112.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, zidovudine, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3485","description":"Injection, zidovudine, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Imatinib, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0088","description":"Imatinib, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":85.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MICAFUNGIN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2246","description":"INJ MICAFUNGIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7178","description":"Injection, human fibrinogen concentrate, not otherwise specified, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fluocinolone acetonide, intravitreal implant (Yutiq), 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7314","description":"Injection, fluocinolone acetonide, intravitreal implant (Yutiq), 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":617.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION EPCORITAMAB-BYSP 0.16 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9321","description":"INJECTION EPCORITAMAB-BYSP 0.16 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43239","description":"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":341.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy through stoma; with biopsy, single or multiple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44389","description":"Colonoscopy through stoma; with biopsy, single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":365.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION CLINDAMYCIN PHOS 300 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0736","description":"INJECTION CLINDAMYCIN PHOS 300 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"One-off load, let CXT hit edit","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97503","description":"One-off load, let CXT hit edit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Bilirubin; direct","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82248","description":"Bilirubin; direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dopamine HCl, 40 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1265","description":"Injection, dopamine HCl, 40 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97172","description":"ATHLETIC TRAINING RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RESTRATA PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2007","description":"RESTRATA PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":205.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Restorigin, 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4192","description":"Restorigin, 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2116.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair management (eg, assessment, fitting, training), each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97542","description":"Wheelchair management (eg, assessment, fitting, training), each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, amobarbital, up to 125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0300","description":"Injection, amobarbital, up to 125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":186.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LOVOTIBEGLOGENE AUTOTEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3394","description":"INJ LOVOTIBEGLOGENE AUTOTEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3100490.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, heparin sodium, (heparin lock flush), per 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1642","description":"Injection, heparin sodium, (heparin lock flush), per 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, sebelipase alfa, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2840","description":"Injection, sebelipase alfa, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":520.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, granisetron, extended-release, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1627","description":"Injection, granisetron, extended-release, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cisplatin, powder or solution, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9060","description":"Injection, cisplatin, powder or solution, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION PAFOLACIANINE 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9603","description":"INJECTION PAFOLACIANINE 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":135.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Rho D immune globulin, intravenous, human, solvent detergent, 100 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2792","description":"Injection, Rho D immune globulin, intravenous, human, solvent detergent, 100 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BEHAVIOR ID SUPPORT ASSMT BY 1 TECH EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97152","description":"BEHAVIOR ID SUPPORT ASSMT BY 1 TECH EA 15 MIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pyridoxine HCl, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3415","description":"Injection, pyridoxine HCl, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ondansetron HCl, per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2405","description":"Injection, ondansetron HCl, per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product, noncompounded, administered through DME","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7620","description":"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, FDA-approved final product, noncompounded, administered through DME","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage of pilonidal cyst; simple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"10080","description":"Incision and drainage of pilonidal cyst; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":94.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99393","description":"PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CALCIUM ACETATE ORAL 23 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0615","description":"CALCIUM ACETATE ORAL 23 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99212","description":"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ YIMMUGO 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1553","description":"INJ YIMMUGO 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, bendamustine HCl (Bendeka), 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9034","description":"Injection, bendamustine HCl (Bendeka), 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIODEFEND FT MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4379","description":"AMNIODEFEND FT MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2907.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0283","description":"Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dactinomycin, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9120","description":"Injection, dactinomycin, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":348.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9560","description":"Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ QIVIGY 100MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1577","description":"INJ QIVIGY 100MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9524","description":"Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION VELMANASE ALFA-TYCV 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0217","description":"INJECTION VELMANASE ALFA-TYCV 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":458.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NOVAFIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4208","description":"NOVAFIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":340.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ABIO XPL ABIO XPL HY P SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4355","description":"ABIO XPL ABIO XPL HY P SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2835.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0153","description":"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CARBOPROST 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0675","description":"INJ CARBOPROST 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION DELAFLOXACIN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3268","description":"INJECTION DELAFLOXACIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE HOSPIRA NT EQ J0165","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0167","description":"INJ EPINEPHRINE HOSPIRA NT EQ J0165","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99231","description":"SBSQ HOSPITAL CARE/DAY 15 MINUTES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Incision and removal of foreign body, subcutaneous tissues; simple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"10120","description":"Incision and removal of foreign body, subcutaneous tissues; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":94.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Allogen, per cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4212","description":"Allogen, per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3264.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99385","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, garamycin, gentamicin, up to 80 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1580","description":"Injection, garamycin, gentamicin, up to 80 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, calaspargase pegol-mknl, 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9118","description":"Injection, calaspargase pegol-mknl, 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":86.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ POSACONAZOLE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1837","description":"INJ POSACONAZOLE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7504","description":"Lymphocyte immune globulin, antithymocyte globulin, equine, parenteral, 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5976.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, neostigmine methylsulfate, up to 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2710","description":"Injection, neostigmine methylsulfate, up to 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ALLOWRAP DS/DRY PER SQ CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4150","description":"ALLOWRAP DS/DRY PER SQ CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":78.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11440","description":"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":115.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RAMPART DL MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4347","description":"RAMPART DL MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2507.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DERM-MAXX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4238","description":"DERM-MAXX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2550.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45300","description":"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ertapenem sodium, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1335","description":"Injection, ertapenem sodium, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cytomegalovirus immune globulin intravenous (human), per vial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0850","description":"Injection, cytomegalovirus immune globulin intravenous (human), per vial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2014.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tympanometry (impedance testing)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92567","description":"Tympanometry (impedance testing)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MIDAZOLAM IN 0.9% NACL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2251","description":"INJ MIDAZOLAM IN 0.9% NACL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION OLICERIDINE 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9101","description":"INJECTION OLICERIDINE 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, minocycline HCl, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2265","description":"Injection, minocycline HCl, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor IX (antihemophilic factor, recombinant) per IU, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7195","description":"Injection, factor IX (antihemophilic factor, recombinant) per IU, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BIODFENCE DRYFLEX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4138","description":"BIODFENCE DRYFLEX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":240.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PURAPLY AM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4196","description":"PURAPLY AM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":175.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; vasopneumatic devices","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97016","description":"Application of a modality to 1 or more areas; vasopneumatic devices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ IMP-CLSTATN 4 MG & RLEBCTM 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0742","description":"INJ IMP-CLSTATN 4 MG & RLEBCTM 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, doxercalciferol, 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1270","description":"Injection, doxercalciferol, 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0256","description":"Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MELOXICAM AZURITY 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1737","description":"INJ MELOXICAM AZURITY 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implanted material, posterior segment; intraocular","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67121","description":"Removal of implanted material, posterior segment; intraocular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":935.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy, flexible; with control of bleeding, any method","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45382","description":"Colonoscopy, flexible; with control of bleeding, any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":560.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PIVEKIMAB SUNIRINE PVZY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9313","description":"INJ PIVEKIMAB SUNIRINE PVZY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":462.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcysteine, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7608","description":"Acetylcysteine, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, naltrexone, depot form, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2315","description":"Injection, naltrexone, depot form, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"TAG PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4261","description":"TAG PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":615.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INTEGRA MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4108","description":"INTEGRA MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GRFX P GRFXPL P STRVX & STRVXPL SC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4133","description":"GRFX P GRFXPL P STRVX & STRVXPL SC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":240.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION INEBILIZUMAB-CDON 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1823","description":"INJECTION INEBILIZUMAB-CDON 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":555.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Exchange of intraocular lens","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66986","description":"Exchange of intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":878.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ RANIBIZUMAB-EQRN BS 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5128","description":"INJ RANIBIZUMAB-EQRN BS 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":81.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEVOTHYROXINE HIKMA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0652","description":"INJ LEVOTHYROXINE HIKMA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FOLIC ACID 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1808","description":"INJ FOLIC ACID 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ METHYLPREDNISOLONE ACETATE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1010","description":"INJ METHYLPREDNISOLONE ACETATE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FLORBETAPR F18 DX STDY DO TO 10 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9586","description":"FLORBETAPR F18 DX STDY DO TO 10 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2914.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, baclofen, 50 mcg for intrathecal trial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0476","description":"Injection, baclofen, 50 mcg for intrathecal trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ACESSO DL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4293","description":"ACESSO DL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1270.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90710","description":"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":324.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SEGEST ACET ETH 0.15 0.013MG/24H VG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7294","description":"SEGEST ACET ETH 0.15 0.013MG/24H VG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2468.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION LEVETIRACETAM 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1957","description":"INJECTION LEVETIRACETAM 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99382","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, caffeine citrate, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0706","description":"Injection, caffeine citrate, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of urethral stricture by passage of filiform and follower, male; initial","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53620","description":"Dilation of urethral stricture by passage of filiform and follower, male; initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":143.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CYCLOPHOSPHAMD AUROMEDICS 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9071","description":"INJ CYCLOPHOSPHAMD AUROMEDICS 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadobutrol, 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9585","description":"Injection, gadobutrol, 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, chlorothiazide sodium, per 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1205","description":"Injection, chlorothiazide sodium, per 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RENOGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4321","description":"RENOGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2335.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, meropenem, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2185","description":"Injection, meropenem, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, alglucosidase alfa, (Lumizyme), 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0221","description":"Injection, alglucosidase alfa, (Lumizyme), 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":219.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MEROPENEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2183","description":"INJ MEROPENEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FECAL MICROBIOTA LIVE - JSLM 1 ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1440","description":"FECAL MICROBIOTA LIVE - JSLM 1 ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9562","description":"Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":790.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67210","description":"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":655.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ATEZOLIZUMB 5MG HYA-TQJS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9024","description":"INJ ATEZOLIZUMB 5MG HYA-TQJS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, trimethobenzamide HCl, up to 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3250","description":"Injection, trimethobenzamide HCl, up to 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dipyridamole, per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1245","description":"Injection, dipyridamole, per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy with irrigation and evacuation of multiple obstructing clots","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52001","description":"Cystourethroscopy with irrigation and evacuation of multiple obstructing clots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":254.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CEFAZOLIN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0687","description":"INJ CEFAZOLIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ocriplasmin, 0.125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7316","description":"Injection, ocriplasmin, 0.125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1007.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7612","description":"Levalbuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION GADOPICLENOL 1 ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9573","description":"INJECTION GADOPICLENOL 1 ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, Monovisc, for intra-articular injection, per dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7327","description":"Hyaluronan or derivative, Monovisc, for intra-articular injection, per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":626.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ceftolozane 50 mg and tazobactam 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0695","description":"Injection, ceftolozane 50 mg and tazobactam 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION LURBINECTEDIN 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9223","description":"INJECTION LURBINECTEDIN 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":234.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, belimumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0490","description":"Injection, belimumab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMIB DR REDDYS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9046","description":"INJ BORTEZOMIB DR REDDYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DESTRUCTION B9 LES UP TO 14","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17110","description":"DESTRUCTION B9 LES UP TO 14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92012","description":"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CV STRESS TEST I R ONLY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93018","description":"CV STRESS TEST I R ONLY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ceftriaxone sodium, per 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0696","description":"Injection, ceftriaxone sodium, per 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, bezlotoxumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0565","description":"Injection, bezlotoxumab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN HCL NOS 50 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9245","description":"INJECTION MELPHALAN HCL NOS 50 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ATHLETIC TRAINING EVAL HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97171","description":"ATHLETIC TRAINING EVAL HIGH COMPLEX 45 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, risperidone (RISPERDAL CONSTA), 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2794","description":"Injection, risperidone (RISPERDAL CONSTA), 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97032","description":"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, azacitidine, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9025","description":"Injection, azacitidine, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB KFCE YESINTEK 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5100","description":"INJ USTEKINUMAB KFCE YESINTEK 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ HYDROMORPHONE 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1171","description":"INJ HYDROMORPHONE 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36405","description":"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; scalp vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, conivaptan hydrochloride, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9488","description":"Injection, conivaptan hydrochloride, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fluconazole, 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1450","description":"Injection, fluconazole, 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Integra flowable wound matrix, injectable, 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4114","description":"Integra flowable wound matrix, injectable, 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2406.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Skin test; candida","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86485","description":"Skin test; candida","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Aminolevulinic acid HCl for topical administration, 10% gel, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7345","description":"Aminolevulinic acid HCl for topical administration, 10% gel, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9547","description":"Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2147.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ibuprofen, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1741","description":"Injection, ibuprofen, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, somatropin, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2941","description":"Injection, somatropin, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":163.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"APLIGRAF PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4101","description":"APLIGRAF PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3672.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TRABECTE APOTEX 0.01 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9312","description":"INJ TRABECTE APOTEX 0.01 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Inj, remdesivir, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0248","description":"Inj, remdesivir, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system (Skyla), 13.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7301","description":"Levonorgestrel-releasing intrauterine contraceptive system (Skyla), 13.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1271.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GAMMAPLEX INJECTION","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1557","description":"GAMMAPLEX INJECTION","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INSULIN LYUMJEV PER 5 UNITS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1814","description":"INSULIN LYUMJEV PER 5 UNITS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION SUTIMLIMAB-JOME 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1302","description":"INJECTION SUTIMLIMAB-JOME 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMCHOPLAST FD PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4360","description":"AMCHOPLAST FD PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2375.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, foscarnet sodium, per 1,000 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1455","description":"Injection, foscarnet sodium, per 1,000 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GRAFIX PLUS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4304","description":"GRAFIX PLUS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1377.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, propofol, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2704","description":"Injection, propofol, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ NIV & RELATLIMAB-RMBW 3 MG/1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9298","description":"INJ NIV & RELATLIMAB-RMBW 3 MG/1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":197.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, levoleucovorin, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0641","description":"Injection, levoleucovorin, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION FLUPHENAZINE HCL 1.25 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2679","description":"INJECTION FLUPHENAZINE HCL 1.25 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90734","description":"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":190.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, testosterone undecanoate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3145","description":"Injection, testosterone undecanoate, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43246","description":"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":243.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, decitabine, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0894","description":"Injection, decitabine, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR OR ALTIPLY PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4235","description":"AMNIOREPAIR OR ALTIPLY PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":87.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LIOTHYRONINE 1 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0654","description":"INJ LIOTHYRONINE 1 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cryotherapy (CO2 slush, liquid N2) for acne","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17340","description":"Cryotherapy (CO2 slush, liquid N2) for acne","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pegloticase, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2507","description":"Injection, pegloticase, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4151.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION PAL PALMITATE ER 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2427","description":"INJECTION PAL PALMITATE ER 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, rimabotulinumtoxinB, 100 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0587","description":"Injection, rimabotulinumtoxinB, 100 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dolasetron mesylate, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1260","description":"Injection, dolasetron mesylate, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Anterior segment imaging with interpretation and report; with fluorescein angiography","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92287","description":"Anterior segment imaging with interpretation and report; with fluorescein angiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":109.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MRVETUXIMB SORAVTANSN-GYNX 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9063","description":"INJ MRVETUXIMB SORAVTANSN-GYNX 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SEVELAMER HYDROCHLORIDE 20MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0603","description":"SEVELAMER HYDROCHLORIDE 20MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION LEFAMULIN 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0691","description":"INJECTION LEFAMULIN 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pentostatin, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9268","description":"Injection, pentostatin, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2834.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, natalizumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2323","description":"Injection, natalizumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MNTR INTRSTITIAL FLUID PRESS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20950","description":"MNTR INTRSTITIAL FLUID PRESS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":94.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN KIMYRSA 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2406","description":"INJECTION ORITAVANCIN KIMYRSA 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":178.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INTRAUT COPP CONT MIUDELLA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7299","description":"INTRAUT COPP CONT MIUDELLA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1526.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-QBDE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5167","description":"INJ DENOSUMAB-QBDE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadoxetate disodium, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9581","description":"Injection, gadoxetate disodium, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"VENDAJE AC PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4279","description":"VENDAJE AC PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2295.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, carmustine, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9050","description":"Injection, carmustine, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":212.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90636","description":"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":152.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION VILTOLARSEN 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1427","description":"INJECTION VILTOLARSEN 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43249","description":"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":243.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, guselkumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1628","description":"Injection, guselkumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, belatacept, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0485","description":"Injection, belatacept, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, tildrakizumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3245","description":"Injection, tildrakizumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":131.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, rasburicase, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2783","description":"Injection, rasburicase, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":401.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ceftazidime and avibactam, 0.5 g/0.125 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0714","description":"Injection, ceftazidime and avibactam, 0.5 g/0.125 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":118.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NUSHIELD PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4160","description":"NUSHIELD PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3570.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51797","description":"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":287.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, abatacept, 10 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0129","description":"Injection, abatacept, 10 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, buprenorphine extended-release (sublocade), greater than 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9992","description":"Injection, buprenorphine extended-release (sublocade), greater than 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2060.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION NITROGLYCERIN 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2305","description":"INJECTION NITROGLYCERIN 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ATROPINE SULF NTE 0.01 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0462","description":"ATROPINE SULF NTE 0.01 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44385","description":"NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":341.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MOTIXAFORTIDE 0.25 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2277","description":"INJ MOTIXAFORTIDE 0.25 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DAXIBOTULINUMTOXINA-LANM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0589","description":"INJ DAXIBOTULINUMTOXINA-LANM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59622","description":"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"TIRV VACC MRNA 37.5/0.38 IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90616","description":"TIRV VACC MRNA 37.5/0.38 IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":162.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59618","description":"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2700.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Factor VIII (antihemophilic factor, recombinant) per IU, not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7192","description":"Factor VIII (antihemophilic factor, recombinant) per IU, not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67040","description":"Vitrectomy, mechanical, pars plana approach; with endolaser panretinal photocoagulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1353.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ARTACENT VERICLEN PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4339","description":"ARTACENT VERICLEN PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2055.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose in lactated ringers infusion, up to 1000 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7121","description":"5% dextrose in lactated ringers infusion, up to 1000 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ NIPOCALIMAB-AAHU 3 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9256","description":"INJ NIPOCALIMAB-AAHU 3 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ANIFROLUMAB-FNIA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0491","description":"INJECTION ANIFROLUMAB-FNIA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide acetate, per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9218","description":"Leuprolide acetate, per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ AMIVANTAMAB 5MG HYALURON","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9062","description":"INJ AMIVANTAMAB 5MG HYALURON","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":40.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, lacosamide, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9254","description":"Injection, lacosamide, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ GLYCOPYRROLATE GLYRX-PF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1597","description":"INJ GLYCOPYRROLATE GLYRX-PF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"APRACLONIDINE HCL OPHT 0.1ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2374","description":"APRACLONIDINE HCL OPHT 0.1ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ORAL HEMADY 0.25 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8541","description":"ORAL HEMADY 0.25 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, chlorpromazine HCl, up to 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3230","description":"Injection, chlorpromazine HCl, up to 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION IMMUNE GLOBULIN 500 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1554","description":"INJECTION IMMUNE GLOBULIN 500 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":508.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"EMT 200MG AND TFV DF 300MG ORAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0750","description":"EMT 200MG AND TFV DF 300MG ORAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ixabepilone, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9207","description":"Injection, ixabepilone, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":144.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION FITUSIRAN 0.04 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7174","description":"INJECTION FITUSIRAN 0.04 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":127.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MANNITOL 250 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2151","description":"INJ MANNITOL 250 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ADAMTS13 10 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7171","description":"INJ ADAMTS13 10 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SARSCV2 VAC 30MCG TRS-SUC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91320","description":"SARSCV2 VAC 30MCG TRS-SUC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":183.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DOLASETRON MESYLATE 100 MG ORL NOT >48 HR DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0180","description":"DOLASETRON MESYLATE 100 MG ORL NOT >48 HR DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1449","description":"INJECTION EFLAPEGRASTIM-XNST 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":37.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ARISTADA INITIO 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1943","description":"INJ ARISTADA INITIO 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ANACAULASE-BCDB 8.8% GEL 1 G","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7353","description":"ANACAULASE-BCDB 8.8% GEL 1 G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9350","description":"INJECTION MOSUNETUZUMAB-AXGB 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":676.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TISOTUMAB VEDOTIN-TFTV 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9273","description":"INJ TISOTUMAB VEDOTIN-TFTV 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":189.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97129","description":"THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Thallium Tl-201 thallous chloride, diagnostic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9505","description":"Thallium Tl-201 thallous chloride, diagnostic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, glatiramer acetate, 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1595","description":"Injection, glatiramer acetate, 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":183.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CYCLOPHOS FRINDOVYX 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9072","description":"INJ CYCLOPHOS FRINDOVYX 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ GEMCITABINE HYDROCHLORDE 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9198","description":"INJ GEMCITABINE HYDROCHLORDE 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2060.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SENTRY SL MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4348","description":"SENTRY SL MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2034.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"REVOSHIELD+ AMNIOTIC BARR PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4289","description":"REVOSHIELD+ AMNIOTIC BARR PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1887.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DONANEMAB-AZBT 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0175","description":"INJ DONANEMAB-AZBT 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, vestronidase alfa-vjbk, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3397","description":"Injection, vestronidase alfa-vjbk, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":285.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"TRUSKIN PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4167","description":"TRUSKIN PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":102.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MCHNL SCLP COOL PREP PLMT","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97008","description":"MCHNL SCLP COOL PREP PLMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE FRESENIUS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0162","description":"INJ EPINEPHRINE FRESENIUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION, AMIVANTAMAB-VMJW 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9061","description":"INJECTION, AMIVANTAMAB-VMJW 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1729","description":"Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ETRNCOGN DZAPRVOVC-DRLB Q THR D","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1411","description":"INJ ETRNCOGN DZAPRVOVC-DRLB Q THR D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3570000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CETIRIZINE HYDROCHLORIDE 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1201","description":"INJ CETIRIZINE HYDROCHLORIDE 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOCORETM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4227","description":"AMNIOCORETM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":459.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11301","description":"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":85.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CYCLOPHOSPHAMIDE NOS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9075","description":"INJ CYCLOPHOSPHAMIDE NOS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90680","description":"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":115.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PURAPLY PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4195","description":"PURAPLY PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":175.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION VASOPRESSIN 1 UNIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2598","description":"INJECTION VASOPRESSIN 1 UNIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, mecasermin, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2170","description":"Injection, mecasermin, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":412.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DEXMEDETOMIDINE ORAL 1 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1105","description":"DEXMEDETOMIDINE ORAL 1 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hepatitis B immune globulin (Hepagam B), intravenous, 0.5 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1573","description":"Injection, hepatitis B immune globulin (Hepagam B), intravenous, 0.5 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-DSSB 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5159","description":"INJ DENOSUMAB-DSSB 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MEROPENEM B BRAUN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2184","description":"INJ MEROPENEM B BRAUN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PRIMATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4110","description":"PRIMATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NEOSTIM MEMBRANE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4266","description":"NEOSTIM MEMBRANE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1270.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, teprotumumab-trbw, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3241","description":"Injection, teprotumumab-trbw, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":396.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor IX, albumin fusion protein, (recombinant), Idelvion, 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7202","description":"Injection, factor IX, albumin fusion protein, (recombinant), Idelvion, 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Granisetron HCl, 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 HCl, 1 mg (for circumstances falling under the Medicare statute, use Q0166)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, estrogen conjugated, per 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1410","description":"Injection, estrogen conjugated, per 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":436.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LIDOCAINE IN D5W 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2002","description":"INJ LIDOCAINE IN D5W 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Microporous collagen implantable slit tube (NeuraWrap Nerve Protector), per cm length","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9353","description":"Microporous collagen implantable slit tube (NeuraWrap Nerve Protector), per cm length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":804.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MYCOPHENOLA MOFETIL 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7526","description":"INJ MYCOPHENOLA MOFETIL 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, crotalidae immune f(ab')2 (equine), 120 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0841","description":"Injection, crotalidae immune f(ab')2 (equine), 120 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1177.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"LU 177 VPIVOTID TETRAXETN THR 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9607","description":"LU 177 VPIVOTID TETRAXETN THR 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":265.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"EPIXPRESS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4361","description":"EPIXPRESS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2040.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, lorazepam, 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2060","description":"Injection, lorazepam, 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Antibody; HIV-2","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86702","description":"Antibody; HIV-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MLG-COMPLETE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4256","description":"MLG-COMPLETE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1887.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Azathioprine, parenteral, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7501","description":"Azathioprine, parenteral, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":255.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ROMIPLOSTIM 1 MICROGRAM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2802","description":"INJ ROMIPLOSTIM 1 MICROGRAM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97116","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67108","description":"RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1542.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"REEVA FT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4314","description":"REEVA FT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1870.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 50 MCG/0.5ML IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91322","description":"SARSCOV2 VAC 50 MCG/0.5ML IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, diphenhydramine HCl, up to 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1200","description":"Injection, diphenhydramine HCl, up to 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MOMETASONE FUROATE SIN IMPL 10 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7402","description":"MOMETASONE FUROATE SIN IMPL 10 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cyclosporine, oral, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7502","description":"Cyclosporine, oral, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7325","description":"Hyaluronan or derivative, Synvisc or Synvisc-One, for intra-articular injection, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy, flexible; with biopsy, single or multiple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45331","description":"Sigmoidoscopy, flexible; with biopsy, single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":146.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION EVINACUMAB-DGNB 5MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1305","description":"INJECTION EVINACUMAB-DGNB 5MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":193.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":878.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, morphine sulfate, preservative free for epidural or intrathecal use, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2274","description":"Injection, morphine sulfate, preservative free for epidural or intrathecal use, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97164","description":"PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CYGNUS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4170","description":"CYGNUS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":969.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CEZ NOT THR EQV TO J0690 500 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0688","description":"INJ CEZ NOT THR EQV TO J0690 500 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"TESTOSTERONE PELLET 75 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1073","description":"TESTOSTERONE PELLET 75 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":129.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, colistimethate sodium, up to 150 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0770","description":"Injection, colistimethate sodium, up to 150 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ RITUXIMAB-PVVR BIOSIMILAR 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5119","description":"INJ RITUXIMAB-PVVR BIOSIMILAR 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4229","description":"COGENEX AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1417.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FUROSEMIDE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1938","description":"INJ FUROSEMIDE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90691","description":"Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":174.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Clozapine, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0136","description":"Clozapine, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SARSCV2 VAC 10MCG TRS-SUC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91319","description":"SARSCV2 VAC 10MCG TRS-SUC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97140","description":"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MYCOP MOFETIL SUSP ORAL 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7529","description":"MYCOP MOFETIL SUSP ORAL 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99381","description":"INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95810","description":"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":600.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION INTERFERON BETA-1B 0.25 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1830","description":"INJECTION INTERFERON BETA-1B 0.25 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":760.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9036","description":"INJECTION BENDAMUSTINE HYDROCHLORIDE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ipilimumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9228","description":"Injection, ipilimumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":183.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION REZAFUNGIN 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0349","description":"INJECTION REZAFUNGIN 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55250","description":"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":438.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HYDROXYZINE PAMOATE 25 MG ORAL NOT >48 HR DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0177","description":"HYDROXYZINE PAMOATE 25 MG ORAL NOT >48 HR DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"No Results","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97210","description":"No Results","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ AFLIBERCEPT AYYH 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5147","description":"INJ AFLIBERCEPT AYYH 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":763.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TIGECYCLINE ACCORD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3244","description":"INJ TIGECYCLINE ACCORD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0702","description":"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ETOPOSIDE AVYXA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9186","description":"INJ ETOPOSIDE AVYXA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90756","description":"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Prednisone, immediate release or delayed release, oral, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7512","description":"Prednisone, immediate release or delayed release, oral, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ EXAGAMGLOGENE AUTOTEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3392","description":"INJ EXAGAMGLOGENE AUTOTEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2365490.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"REPRIZA PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4143","description":"REPRIZA PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AFAMITRESGENE AUTOLEUCEL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2057","description":"AFAMITRESGENE AUTOLEUCEL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":775572.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, iron dextran, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1750","description":"Injection, iron dextran, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluzone)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2038","description":"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (Fluzone)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tacrolimus, extended release, oral, 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7503","description":"Tacrolimus, extended release, oral, 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ziv-aflibercept, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9400","description":"Injection, ziv-aflibercept, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"TALYMED PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4127","description":"TALYMED PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":833.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy, flexible; with removal of foreign body(s)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45332","description":"Sigmoidoscopy, flexible; with removal of foreign body(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":268.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Azathioprine, oral, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7500","description":"Azathioprine, oral, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90687","description":"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5110","description":"Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED HOSPIRA 10MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9294","description":"INJ PEMETREXED HOSPIRA 10MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DENILEUK DIFTI CXDL 1MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9161","description":"INJ DENILEUK DIFTI CXDL 1MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11056","description":"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOTX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4324","description":"AMNIOTX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1683.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor X, (human), 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7175","description":"Injection, factor X, (human), 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1020.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BENDAMUSTINE HCL VIVIMUSTA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9056","description":"INJ BENDAMUSTINE HCL VIVIMUSTA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEGULICIANINE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9615","description":"INJ PEGULICIANINE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hydroxyprogesterone caproate, (Makena), 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1726","description":"Injection, hydroxyprogesterone caproate, (Makena), 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ECULIZUMAB 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1299","description":"INJ ECULIZUMAB 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":42.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, linezolid, 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2020","description":"Injection, linezolid, 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"IDECABTAGENE VICLEUCEL CAR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2055","description":"IDECABTAGENE VICLEUCEL CAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":575850.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FAMOTIDINE 0.25 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1308","description":"INJ FAMOTIDINE 0.25 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ifosfamide, 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9208","description":"Injection, ifosfamide, 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ESMOLOL HCL 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1805","description":"INJECTION ESMOLOL HCL 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, immune globulin (Cuvitru), 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1555","description":"Injection, immune globulin (Cuvitru), 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hemin, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1640","description":"Injection, hemin, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Semen analysis; presence and/or motility of sperm including Huhner test (post coital)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89300","description":"Semen analysis; presence and/or motility of sperm including Huhner test (post coital)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TRILACICLIB 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1448","description":"INJECTION TRILACICLIB 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, penicillin G potassium, up to 600,000 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2540","description":"Injection, penicillin G potassium, up to 600,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97165","description":"OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89330","description":"Sperm evaluation; cervical mucus penetration test, with or without spinnbarkeit test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"XCELL AMNIO MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4280","description":"XCELL AMNIO MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2355.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ABILIFY MAINTENA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0401","description":"INJ ABILIFY MAINTENA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, immune globulin (Hizentra), 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1559","description":"Injection, immune globulin (Hizentra), 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ramucirumab, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9308","description":"Injection, ramucirumab, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":76.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ MIDAZOLAM IN 0.8% NACL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2252","description":"INJ MIDAZOLAM IN 0.8% NACL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the Medicare statute, use Q0164)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0183","description":"Prochlorperazine maleate, oral, 5 mg (for circumstances falling under the Medicare statute, use Q0164)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3830.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9333","description":"INJECTION ROZANOLIXIZUMAB-NOLI 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90585","description":"Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":204.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Flutamide, oral, 125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0175","description":"Flutamide, oral, 125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97033","description":"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, levocarnitine, per 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1955","description":"Injection, levocarnitine, per 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5104","description":"Injection, infliximab-abda, biosimilar, (renflexis), 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cemiplimab-rwlc, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9119","description":"Injection, cemiplimab-rwlc, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CANTHARIDIN TOP APPLICATOR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7354","description":"CANTHARIDIN TOP APPLICATOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":683.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CYCLOPHOS BAXTER 5MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9076","description":"INJ CYCLOPHOS BAXTER 5MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, oxaliplatin, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9263","description":"Injection, oxaliplatin, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CARBOPLATIN AVYXA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9278","description":"INJ CARBOPLATIN AVYXA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ethanolamine oleate, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1430","description":"Injection, ethanolamine oleate, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":579.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9967","description":"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MEMBRANE WRAP-HYDRO TM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4290","description":"MEMBRANE WRAP-HYDRO TM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1887.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cangrelor, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9460","description":"Injection, cangrelor, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, interferon, gamma 1-b, 3 million units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9216","description":"Injection, interferon, gamma 1-b, 3 million units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8965.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Busulfan, oral, 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8510","description":"Busulfan, oral, 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":315.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, voriconazole, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3465","description":"Injection, voriconazole, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (AFLURIA)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2035","description":"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (AFLURIA)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, bevacizumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9035","description":"Injection, bevacizumab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":78.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B immune globulin (HBIg), human, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90371","description":"Hepatitis B immune globulin (HBIg), human, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":138.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9215","description":"Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION LUSPATERCEPT-AAMT 0.25 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0896","description":"INJECTION LUSPATERCEPT-AAMT 0.25 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":42.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, interferon, alfa-2b, recombinant, 1 million units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9214","description":"Injection, interferon, alfa-2b, recombinant, 1 million units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87220","description":"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEM HSPRA NOT THR EQ J9305 10MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9323","description":"INJ PEM HSPRA NOT THR EQ J9305 10MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92508","description":"Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individuals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90633","description":"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, methyldopate HCl, up to 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0210","description":"Injection, methyldopate HCl, up to 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":40.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"TRANSCYTE PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4182","description":"TRANSCYTE PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ VALPROATE SOD 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3379","description":"INJ VALPROATE SOD 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, irinotecan, 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9206","description":"Injection, irinotecan, 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, collagenase, clostridium histolyticum, 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0775","description":"Injection, collagenase, clostridium histolyticum, 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":84.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, alteplase recombinant, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2997","description":"Injection, alteplase recombinant, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":106.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, interferon beta-1a, 1 mcg for subcutaneous use","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q3028","description":"Injection, interferon beta-1a, 1 mcg for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MatriStem micromatrix, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4118","description":"MatriStem micromatrix, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, octreotide, nondepot form for subcutaneous or intravenous injection, 25 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2354","description":"Injection, octreotide, nondepot form for subcutaneous or intravenous injection, 25 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MULTIPLE FAM GROUP BHV TX GDN PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97157","description":"MULTIPLE FAM GROUP BHV TX GDN PHYS/QHP EA 15 MIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION DOCETAXEL BEIZRAY 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9174","description":"INJECTION DOCETAXEL BEIZRAY 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5107","description":"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy, flexible; 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":"45330","description":"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":136.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ AMINOCAPROIC ACID 1 GRAM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0281","description":"INJ AMINOCAPROIC ACID 1 GRAM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, sculptra, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2028","description":"Injection, sculptra, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1438","description":"Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1092.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, etelcalcetide, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0606","description":"Injection, etelcalcetide, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":116.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, granisetron HCl, 100 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1626","description":"Injection, granisetron HCl, 100 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RMVL FB MUSC/TDN SIMPLE","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"20520","description":"RMVL FB MUSC/TDN SIMPLE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":177.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tobramycin, inhalation solution, FDA-approved final product, noncompounded, unit dose form, administered through DME, per 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7682","description":"Tobramycin, inhalation solution, FDA-approved final product, noncompounded, unit dose form, administered through DME, per 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SEVELAMER CARBONATE PDR 20MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0602","description":"SEVELAMER CARBONATE PDR 20MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 labeled autologous platelets, diagnostic, per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9571","description":"Indium In-111 labeled autologous platelets, diagnostic, per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4294.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor VIII Fc fusion protein (recombinant), per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7205","description":"Injection, factor VIII Fc fusion protein (recombinant), per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MIRENA 52 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7298","description":"MIRENA 52 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1526.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cytarabine, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9100","description":"Injection, cytarabine, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9579","description":"Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, baclofen, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0475","description":"Injection, baclofen, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":202.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, omacetaxine mepesuccinate, 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9262","description":"Injection, omacetaxine mepesuccinate, 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Sterile dilutant for epoprostenol, 50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0155","description":"Sterile dilutant for epoprostenol, 50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INITIAL HOSPITAL CARE/DAY 70 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99223","description":"INITIAL HOSPITAL CARE/DAY 70 MINUTES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":129.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection abciximab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0130","description":"Injection abciximab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1456.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45317","description":"Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":146.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9966","description":"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, carboplatin, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9045","description":"Injection, carboplatin, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"XE129 XENON DIAGNOSTIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9610","description":"XE129 XENON DIAGNOSTIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":442.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FLUORODOPA F-18 DIAGNOSTIC PER MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9602","description":"FLUORODOPA F-18 DIAGNOSTIC PER MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":508.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MYCOPHENOL MOFETIL ORAL 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7524","description":"MYCOPHENOL MOFETIL ORAL 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HELICOLL PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4164","description":"HELICOLL PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1326.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"METHOTREXATE XATMEP ORAL 2.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8612","description":"METHOTREXATE XATMEP ORAL 2.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ, TESTOSTERONE AZMIRO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1072","description":"INJ, TESTOSTERONE AZMIRO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMIODARONE HCL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0282","description":"AMIODARONE HCL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, olanzapine, long-acting, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2358","description":"Injection, olanzapine, long-acting, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66985","description":"Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":655.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90733","description":"Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":132.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, levofloxacin, 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1956","description":"Injection, levofloxacin, 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Ringers lactate infusion, up to 1,000 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7120","description":"Ringers lactate infusion, up to 1,000 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97168","description":"OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9510","description":"Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"COGENEX FLOWABLE AMNION PER 0.5 CC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4230","description":"COGENEX FLOWABLE AMNION PER 0.5 CC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":850.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"95811","description":"POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":600.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SHELTER DM MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4346","description":"SHELTER DM MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3570.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DRONABINOL SYNDROS 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0155","description":"DRONABINOL SYNDROS 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INTGRA DRT/OMNIGR DERM RGN MTX P SC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4105","description":"INTGRA DRT/OMNIGR DERM RGN MTX P SC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION GLYCOPYRROLATE 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1596","description":"INJECTION GLYCOPYRROLATE 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"TACROLIM GRANULES ORAL SUSP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7521","description":"TACROLIM GRANULES ORAL SUSP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, palonosetron HCl, 25 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2469","description":"Injection, palonosetron HCl, 25 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"44392","description":"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":390.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Becaplermin gel 0.01%, 0.5 gm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0157","description":"Becaplermin gel 0.01%, 0.5 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"XCELLERATE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4234","description":"XCELLERATE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1062.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BIODFENCE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4140","description":"BIODFENCE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":293.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTN COAG FACTOR IX IXINITY 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7213","description":"INJECTN COAG FACTOR IX IXINITY 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOBAND/GUARDIAN PER SQ CENTIMETR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4151","description":"AMNIOBAND/GUARDIAN PER SQ CENTIMETR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":146.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CYGNUS MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4199","description":"CYGNUS MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":402.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HIV PREP INJ LENACAPAVIR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0738","description":"HIV PREP INJ LENACAPAVIR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, necitumumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9295","description":"Injection, necitumumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97124","description":"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PROCENTA PER 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4310","description":"PROCENTA PER 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5049.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BEVACIZUMAB-MALY BIOSIMIL 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5126","description":"INJ BEVACIZUMAB-MALY BIOSIMIL 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":79.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9561","description":"Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, anidulafungin, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0348","description":"Injection, anidulafungin, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, papaverine HCl, up to 60 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2440","description":"Injection, papaverine HCl, up to 60 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11307","description":"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":101.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ VALOCTOCGN ROXAPRVOVC-RVOX Q ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1412","description":"INJ VALOCTOCGN ROXAPRVOVC-RVOX Q ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11961.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ VANCO (TYZAVAN) 10MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3375","description":"INJ VANCO (TYZAVAN) 10MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90707","description":"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":105.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Mannitol, administered through an inhaler, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7665","description":"Mannitol, administered through an inhaler, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FVIII AHF GLYCOPGYLTD-EXEI P-IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7204","description":"INJ FVIII AHF GLYCOPGYLTD-EXEI P-IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99203","description":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":91.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BRIXADI 7 DAYS OR LESS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0577","description":"INJ BRIXADI 7 DAYS OR LESS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":433.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PRED SOD PHO ORA DIS TA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7531","description":"PRED SOD PHO ORA DIS TA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MCHNL SCLP COOL MEAS FITG","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97007","description":"MCHNL SCLP COOL MEAS FITG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, moxifloxacin, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2280","description":"Injection, moxifloxacin, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, tobramycin sulfate, up to 80 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3260","description":"Injection, tobramycin sulfate, up to 80 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MIRODRY PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2031","description":"MIRODRY PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":510.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7611","description":"Albuterol, inhalation solution, FDA-approved final product, noncompounded, administered through DME, concentrated form, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"VENDAJE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4252","description":"VENDAJE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":969.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90472","description":"IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, follitropin beta, 75 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0128","description":"Injection, follitropin beta, 75 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":221.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11422","description":"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":180.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ EFBEMALENOGRASTIM ALFA-VUXW","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9361","description":"INJ EFBEMALENOGRASTIM ALFA-VUXW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":121.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, depo-estradiol cypionate, up to 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1000","description":"Injection, depo-estradiol cypionate, up to 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ NYPOSI 1 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5148","description":"INJ NYPOSI 1 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, eribulin mesylate, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9179","description":"Injection, eribulin mesylate, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":66.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Netupitant 300 mg and palonosetron 0.5 mg, oral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8655","description":"Netupitant 300 mg and palonosetron 0.5 mg, oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":472.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92004","description":"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":70.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ecallantide, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1290","description":"Injection, ecallantide, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":622.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, obinutuzumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9301","description":"Injection, obinutuzumab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90381","description":"Respiratory syncytial virus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":606.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DAPTOMYCIN ENDO 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0871","description":"INJ DAPTOMYCIN ENDO 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, epoetin beta, 1 microgram, (for non-ESRD use)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0888","description":"Injection, epoetin beta, 1 microgram, (for non-ESRD use)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Estradiol; total","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82670","description":"Estradiol; total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, alemtuzumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0202","description":"Injection, alemtuzumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2413.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NEOX 100 OR CLARIX 100-SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4156","description":"NEOX 100 OR CLARIX 100-SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MCHNL SCLP COOL AFTER CHEMO","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97009","description":"MCHNL SCLP COOL AFTER CHEMO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Factor VIII, (antihemophilic factor, recombinant), (Kovaltry), 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7211","description":"Injection, Factor VIII, (antihemophilic factor, recombinant), (Kovaltry), 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DERMAVEST AND PLURIVEST PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4153","description":"DERMAVEST AND PLURIVEST PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":221.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9965","description":"Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"VNPNXR 3 YEARS/> PHYS/QHP SKILL","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36410","description":"VNPNXR 3 YEARS/> PHYS/QHP SKILL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJCT RISANKIZUMAB-RZAA INTRAV 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2327","description":"INJCT RISANKIZUMAB-RZAA INTRAV 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99396","description":"PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11401","description":"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":155.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9332","description":"INJ EFGARTIGIMOD ALFA-FCAB 2MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy through stoma; 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":"44388","description":"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":365.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ VASOPRESSIN BAXTER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2601","description":"INJ VASOPRESSIN BAXTER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3398","description":"Injection, voretigene neparvovec-rzyl, 1 billion vector genomes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3106.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy, flexible; with biopsy, single or multiple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45380","description":"Colonoscopy, flexible; with biopsy, single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":438.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy, flexible; 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":"45378","description":"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":390.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9521","description":"Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1748.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Patisiran, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0222","description":"Injection, Patisiran, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, isavuconazonium, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1833","description":"Injection, isavuconazonium, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, infliximab, excludes biosimilar, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1745","description":"Injection, infliximab, excludes biosimilar, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99213","description":"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, oxytocin, up to 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2590","description":"Injection, oxytocin, up to 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION NALOXONE HCL NOS 0.01MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2312","description":"INJECTION NALOXONE HCL NOS 0.01MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FOCINVEZ 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1434","description":"INJ FOCINVEZ 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92083","description":"VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, secretin, synthetic, human, 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2850","description":"Injection, secretin, synthetic, human, 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":42.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, paliperidone palmitate extended release, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2426","description":"Injection, paliperidone palmitate extended release, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, oxacillin sodium, up to 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2700","description":"Injection, oxacillin sodium, up to 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INNOVABURN/INNOVAMTRX XL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2022","description":"INNOVABURN/INNOVAMTRX XL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1453.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Exemestane, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0156","description":"Exemestane, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, idursulfase, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1743","description":"Injection, idursulfase, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":620.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DARA 10 MG & HYALURONIDASE-FIHJ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9144","description":"INJ DARA 10 MG & HYALURONIDASE-FIHJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AmnioBand, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4168","description":"AmnioBand, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; ultraviolet","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97028","description":"Application of a modality to 1 or more areas; ultraviolet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PEMBROLIZUMAB 1MG BERAHYALUR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9277","description":"PEMBROLIZUMAB 1MG BERAHYALUR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, zoledronic acid, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3489","description":"Injection, zoledronic acid, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, mitoxantrone HCl, per 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9293","description":"Injection, mitoxantrone HCl, per 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION PEMETREXED 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9324","description":"INJECTION PEMETREXED 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":63.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, inotuzumab ozogamicin, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9229","description":"Injection, inotuzumab ozogamicin, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2741.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ METHOTREXATE SODIUM 50 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9260","description":"INJ METHOTREXATE SODIUM 50 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin (IgIV), human, for intravenous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90283","description":"Immune globulin (IgIV), human, for intravenous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-DESU 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5166","description":"INJ DENOSUMAB-DESU 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GALLIUM GA-68 GOZETOTIDE DX 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9800","description":"GALLIUM GA-68 GOZETOTIDE DX 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4589.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, clofarabine, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9027","description":"Injection, clofarabine, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90661","description":"Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":63.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, procainamide HCl, up to 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2690","description":"Injection, procainamide HCl, up to 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":428.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9543","description":"Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71929.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9554","description":"Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 5MCG/0.5ML IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91304","description":"SARSCOV2 VAC 5MCG/0.5ML IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":181.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ RYKINDO 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2801","description":"INJ RYKINDO 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HMATRIX PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4134","description":"HMATRIX PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":162.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ JOBEVNE 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5160","description":"INJ JOBEVNE 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION BUPIVICAINE NOS 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0665","description":"INJECTION BUPIVICAINE NOS 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MATRIX HD ALLOGRFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4345","description":"MATRIX HD ALLOGRFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2550.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99384","description":"INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fentanyl citrate, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3010","description":"Injection, fentanyl citrate, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93350","description":"ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":226.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, eravacycline, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0122","description":"Injection, eravacycline, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0139","description":"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, rilonacept, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2793","description":"Injection, rilonacept, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CRYO-CORD PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4237","description":"CRYO-CORD PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":424.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Topotecan, oral, 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8705","description":"Topotecan, oral, 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":136.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90380","description":"Respiratory syncytial virus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":606.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CHIKUNGUNYA VACCINE LIVE IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90589","description":"CHIKUNGUNYA VACCINE LIVE IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":140.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, isatuximab-irfc, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9227","description":"Injection, isatuximab-irfc, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FLEBOGAMMA INJECTION","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1572","description":"FLEBOGAMMA INJECTION","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":60.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEGUNIGALSIDASE ALFA-IWXJ 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2508","description":"INJ PEGUNIGALSIDASE ALFA-IWXJ 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":219.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SIMPLIGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4340","description":"SIMPLIGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2193.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ketorolac tromethamine, per 15 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1885","description":"Injection, ketorolac tromethamine, per 15 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1566","description":"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Ustekinumab, for subcutaneous injection, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3357","description":"Ustekinumab, for subcutaneous injection, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Rhythm ECG, 1-3 leads; with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93040","description":"Rhythm ECG, 1-3 leads; with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5108","description":"Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0574","description":"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2825.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, tagraxofusp-erzs, 10 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9269","description":"Injection, tagraxofusp-erzs, 10 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":341.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Choline C-11, diagnostic, per study dose up to 20 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9515","description":"Choline C-11, diagnostic, per study dose up to 20 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5100.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SURGIGRAFT-DUAL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4219","description":"SURGIGRAFT-DUAL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":849.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1479.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ado-trastuzumab emtansine, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9354","description":"Injection, ado-trastuzumab emtansine, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Mycophenolic acid, oral, 180 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7518","description":"Mycophenolic acid, oral, 180 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9540","description":"Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (FLUVIRIN)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2037","description":"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (FLUVIRIN)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, synojoynt, for intraarticular injection, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7331","description":"Hyaluronan or derivative, synojoynt, for intraarticular injection, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Blood count; hematocrit (Hct)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85014","description":"Blood count; hematocrit (Hct)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION DAP NOT TE TO J0878 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0874","description":"INJECTION DAP NOT TE TO J0878 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5113","description":"INJECTION TRASTUZUMAB-PKRB BIOSIMILAR 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, amphotericin B lipid complex, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0287","description":"Injection, amphotericin B lipid complex, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, atezolizumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9022","description":"Injection, atezolizumab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":105.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67218","description":"Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of source (includes removal of source)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1353.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9572","description":"Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3947.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99392","description":"PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90650","description":"Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":143.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Didanosine (ddI), 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0137","description":"Didanosine (ddI), 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ METHYLPRED SOD SUCC 5MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2919","description":"INJ METHYLPRED SOD SUCC 5MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FLUOROURACIL AVYXA 10MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9191","description":"INJ FLUOROURACIL AVYXA 10MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CAR NOT THR EQV TO J9050 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9052","description":"INJ CAR NOT THR EQV TO J9050 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1916.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9604","description":"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16608.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ALLOSKIN PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4115","description":"ALLOSKIN PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Histrelin implant (Vantas), 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9225","description":"Histrelin implant (Vantas), 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5848.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIO WOUND PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4181","description":"AMNIO WOUND PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":170.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin (Ig), human, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90281","description":"Immune globulin (Ig), human, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":106.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, elosulfase alfa, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1322","description":"Injection, elosulfase alfa, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":348.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ GLUC HYDRC NOT TX EQV J1610/1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1611","description":"INJ GLUC HYDRC NOT TX EQV J1610/1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":134.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTN BTZ NOT TE TO J9041 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9051","description":"INJECTN BTZ NOT TE TO J9041 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB AAUZ 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9999","description":"INJ USTEKINUMAB AAUZ 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dalteparin sodium, per 2500 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1645","description":"Injection, dalteparin sodium, per 2500 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ONDANSETRON 1 MG ORL NOT EXCEED 48 HR DOSE REG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0162","description":"ONDANSETRON 1 MG ORL NOT EXCEED 48 HR DOSE REG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, azithromycin, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0456","description":"Injection, azithromycin, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, temsirolimus, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9330","description":"Injection, temsirolimus, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, degarelix, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9155","description":"Injection, degarelix, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION GIVOSIRAN 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0223","description":"INJECTION GIVOSIRAN 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":115.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, leuprolide acetate for depot suspension (Fensolvi), 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1951","description":"Injection, leuprolide acetate for depot suspension (Fensolvi), 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":141.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 sodium iodide capsule(s), therapeutic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9517","description":"Iodine I-131 sodium iodide capsule(s), therapeutic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Dolasetron mesylate, oral 50 mg (for circumstances falling under the Medicare statute, use Q0180)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0174","description":"Dolasetron mesylate, oral 50 mg (for circumstances falling under the Medicare statute, use Q0180)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"HEPB VACC 2/4 DOSE ADULT IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90739","description":"HEPB VACC 2/4 DOSE ADULT IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":178.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Dextroamphetamine sulfate, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0160","description":"Dextroamphetamine sulfate, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, vitamin B-12 cyanocobalamin, up to 1,000 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3420","description":"Injection, vitamin B-12 cyanocobalamin, up to 1,000 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Antepartum care only; 4-6 visits","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59425","description":"Antepartum care only; 4-6 visits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":900.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, C-1 esterase inhibitor (human), Berinert, 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0597","description":"Injection, C-1 esterase inhibitor (human), Berinert, 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, enfuvirtide, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1324","description":"Injection, enfuvirtide, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION WEZLANA IV 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5138","description":"INJECTION WEZLANA IV 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Ipratropium bromide, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7644","description":"Ipratropium bromide, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Semen analysis; motility and count (not including Huhner test)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"89310","description":"Semen analysis; motility and count (not including Huhner test)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97156","description":"FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Duplex scan of extracranial arteries; complete bilateral study","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93880","description":"Duplex scan of extracranial arteries; complete bilateral study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":201.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION MARSTACIM HNCQ 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7172","description":"INJECTION MARSTACIM HNCQ 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ELIVALDOGENE AUTOTEMCEL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3387","description":"INJ ELIVALDOGENE AUTOTEMCEL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3000490.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TAFASITAMAB-CXIX 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9349","description":"INJECTION TAFASITAMAB-CXIX 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, tetanus immune globulin, human, up to 250 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1670","description":"Injection, tetanus immune globulin, human, up to 250 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":651.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ GEMCITABIN AVYXA 200MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9184","description":"INJ GEMCITABIN AVYXA 200MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":403.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BENDAMUSTINE HCL 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9033","description":"INJ BENDAMUSTINE HCL 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Fluciclovine f-18, diagnostic, 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9588","description":"Fluciclovine f-18, diagnostic, 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":560.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82270","description":"BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fludarabine phosphate, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9185","description":"Injection, fludarabine phosphate, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":193.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4253","description":"ZENITH AMNIOTIC MEMBRANE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":969.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION AZTREONAM 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0457","description":"INJECTION AZTREONAM 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"10060","description":"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":94.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SMALLPOX AND MONKEYPOX VACCINE","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90611","description":"SMALLPOX AND MONKEYPOX VACCINE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":303.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CYGNUS SOLO PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4413","description":"CYGNUS SOLO PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":969.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PALINGEN DUAL LAYER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4354","description":"PALINGEN DUAL LAYER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4237.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CP BXTR NOT THR EQ J0736 300 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0737","description":"INJ CP BXTR NOT THR EQ J0736 300 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9318","description":"INJECTION ROMIDEPSIN NONLYOPHILIZED 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB 10 MG & HYALURONIDASE-OYSK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9356","description":"INJECTION TRASTUZUMAB 10 MG & HYALURONIDASE-OYSK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AXOLOTL GRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4331","description":"AXOLOTL GRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1673.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, levoleucovorin, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0642","description":"Injection, levoleucovorin, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11442","description":"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":194.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ATROPINE FRESENIUS TE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0463","description":"INJ ATROPINE FRESENIUS TE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90686","description":"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, abobotulinumtoxinA, 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0586","description":"Injection, abobotulinumtoxinA, 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, acetazolamide sodium, up to 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1120","description":"Injection, acetazolamide sodium, up to 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, plerixafor, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2562","description":"Injection, plerixafor, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Mercaptopurine, oral, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0108","description":"Mercaptopurine, oral, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, perflutren lipid microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9957","description":"Injection, perflutren lipid microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cymetra, injectable, 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4112","description":"Cymetra, injectable, 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":946.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MIRO3D FIBERS PER MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2030","description":"MIRO3D FIBERS PER MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9595","description":"PIFLUFOLASTAT F-18 DIAGNOSTIC 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":646.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Misoprostol, oral, 200 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0191","description":"Misoprostol, oral, 200 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9958","description":"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fluocinolone acetonide, intravitreal implant (Retisert), 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7311","description":"Injection, fluocinolone acetonide, intravitreal implant (Retisert), 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":321.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Prothrombin complex concentrate (human), Kcentra, per IU of Factor IX activity","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7168","description":"Prothrombin complex concentrate (human), Kcentra, per IU of Factor IX activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIO BUR DL MEM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4365","description":"AMNIO BUR DL MEM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4743.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97163","description":"PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, daratumumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9145","description":"Injection, daratumumab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":81.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal delivery only (with or without episiotomy and/or forceps);","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59409","description":"Vaginal delivery only (with or without episiotomy and/or forceps);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1850.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97151","description":"BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DILTIAZEM IN 0.72% NACL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1164","description":"INJ DILTIAZEM IN 0.72% NACL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90698","description":"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":132.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11600","description":"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":155.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ropivacaine HCl, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2795","description":"Injection, ropivacaine HCl, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81000","description":"URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MyOwn skin, includes harvesting and preparation procedures, per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4226","description":"MyOwn skin, includes harvesting and preparation procedures, per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1224.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DERMA-GIDE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4203","description":"DERMA-GIDE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":848.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NATALIN PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4396","description":"NATALIN PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2856.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92002","description":"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, denosumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0897","description":"Injection, denosumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":29.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PROGENAMATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4222","description":"PROGENAMATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":183.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99397","description":"PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":75.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, penicillin G benzathine and penicillin G procaine, 100,000 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0558","description":"Injection, penicillin G benzathine and penicillin G procaine, 100,000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ceftazidime, per 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0713","description":"Injection, ceftazidime, per 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Rabies vaccine, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90675","description":"Rabies vaccine, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":327.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, interferon beta-1a, 30 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1826","description":"Injection, interferon beta-1a, 30 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2312.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11622","description":"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":231.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, testosterone enanthate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3121","description":"Injection, testosterone enanthate, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11400","description":"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":115.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11403","description":"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":194.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ NITHIODOTE 3MG/125MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0211","description":"INJ NITHIODOTE 3MG/125MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97162","description":"PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90671","description":"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":272.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TREOSULFAN 50 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0614","description":"INJ TREOSULFAN 50 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90681","description":"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":168.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, lumasiran, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0224","description":"Injection, lumasiran, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":336.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FUROSE LASIX ONYU 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1946","description":"INJ FUROSE LASIX ONYU 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dimercaprol, per 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0470","description":"Injection, dimercaprol, per 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MEMBRANE WRP LT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4373","description":"MEMBRANE WRP LT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2801.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ZANIDATAMAB HRII 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9276","description":"INJECTION ZANIDATAMAB HRII 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90747","description":"Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":161.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ EPINEPHRINE BPI NT EQ J0165 0.1","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0166","description":"INJ EPINEPHRINE BPI NT EQ J0165 0.1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cefepime HCl, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0692","description":"Injection, cefepime HCl, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, belinostat, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9032","description":"Injection, belinostat, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ENVERSE PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4258","description":"ENVERSE PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1417.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"KERAMATRIX OR KERASORB PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4165","description":"KERAMATRIX OR KERASORB PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2754.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DERMACYTE AC MATRX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4343","description":"DERMACYTE AC MATRX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2367.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ESANO AC, PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4274","description":"ESANO AC, PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1810.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90657","description":"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Mitomycin, opthalmic, 0.2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7315","description":"Mitomycin, opthalmic, 0.2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":438.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, eptifibatide, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1327","description":"Injection, eptifibatide, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9153","description":"Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":284.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ARGATROBAN NOT TX EQV J0884 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0892","description":"INJ ARGATROBAN NOT TX EQV J0884 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pamidronate disodium, per 30 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2430","description":"Injection, pamidronate disodium, per 30 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Collection of venous blood by venipuncture","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36415","description":"Collection of venous blood by venipuncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66830","description":"RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":633.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, promethazine HCl, up to 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2550","description":"Injection, promethazine HCl, up to 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SURGRAFT FT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4268","description":"SURGRAFT FT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5304.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION PEGCETACOPLAN IVT MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2781","description":"INJECTION PEGCETACOPLAN IVT MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":135.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"F 18 PYLARIFY TRUVU DX 1MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9613","description":"F 18 PYLARIFY TRUVU DX 1MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":646.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, aprepitant, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0185","description":"Injection, aprepitant, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"XCEED TL MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4353","description":"XCEED TL MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3876.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ARTACENT AC PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4190","description":"ARTACENT AC PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":826.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TRAVOPROST INTRA IMPLANT 1 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7355","description":"INJ TRAVOPROST INTRA IMPLANT 1 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":185.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, apomorphine HCl, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0364","description":"Injection, apomorphine HCl, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CALCITRIOL 0.25 MICROGRAM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0169","description":"CALCITRIOL 0.25 MICROGRAM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, phenytoin sodium, per 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1165","description":"Injection, phenytoin sodium, per 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RSV VACC PREF BIVALENT IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90678","description":"RSV VACC PREF BIVALENT IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":344.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NEOSTIM TL, PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4265","description":"NEOSTIM TL, PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":254.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide acetate (for depot suspension), 7.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9217","description":"Leuprolide acetate (for depot suspension), 7.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":195.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DEN BIL/BIL BIO 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5162","description":"INJ DEN BIL/BIL BIO 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, streptomycin, up to 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3000","description":"Injection, streptomycin, up to 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SBSQ HOSPITAL CARE/DAY 35 MINUTES","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99233","description":"SBSQ HOSPITAL CARE/DAY 35 MINUTES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, acyclovir, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0133","description":"Injection, acyclovir, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, vinorelbine tartrate, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9390","description":"Injection, vinorelbine tartrate, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Gefitinib, oral, 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8565","description":"Gefitinib, oral, 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":234.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Autologous cultured chondrocytes, implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7330","description":"Autologous cultured chondrocytes, implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":91680.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, phenobarbital sodium, up to 120 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2560","description":"Injection, phenobarbital sodium, up to 120 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":25.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"36406","description":"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; other vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90649","description":"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":172.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fondaparinux sodium, 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1652","description":"Injection, fondaparinux sodium, 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, 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":"43235","description":"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":341.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc-99m, tilmanocept, diagnostic, up to 0.5 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9520","description":"Technetium tc-99m, tilmanocept, diagnostic, up to 0.5 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":479.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, idarubicin HCl, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9211","description":"Injection, idarubicin HCl, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ESOMEPRAZOLE SOD 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1370","description":"INJ ESOMEPRAZOLE SOD 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DECITABINE SUN PHARMA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0893","description":"INJ DECITABINE SUN PHARMA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, reslizumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2786","description":"Injection, reslizumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, topotecan, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9351","description":"Injection, topotecan, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hypertonic saline solution, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7131","description":"Hypertonic saline solution, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, nonradioactive, noncontrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9968","description":"Injection, nonradioactive, noncontrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ROMOSOZUMAB-AQQG 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3111","description":"INJECTION ROMOSOZUMAB-AQQG 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BEVACIZUMAB-ADCD BS 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5129","description":"INJ BEVACIZUMAB-ADCD BS 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"LECANEMAB-IRMB FOR IV INJ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0174","description":"LECANEMAB-IRMB FOR IV INJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, reteplase, 18.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2993","description":"Injection, reteplase, 18.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3081.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7189","description":"Factor viia (antihemophilic factor, recombinant), (novoseven rt), 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PALINGEN/PALINGEN XPLUS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4173","description":"PALINGEN/PALINGEN XPLUS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":969.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"EPIFIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4186","description":"EPIFIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":340.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, haloperidol, up to 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1630","description":"Injection, haloperidol, up to 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5115","description":"INJECTION RITUXIMAB-ABBS BIOSIMILAR 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, haloperidol decanoate, per 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1631","description":"Injection, haloperidol decanoate, per 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99202","description":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":84.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, rituximab-arrx, biosimilar, (Riabni), 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5123","description":"Injection, rituximab-arrx, biosimilar, (Riabni), 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CEZ NOT THER EQV J0690 500 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0689","description":"INJ CEZ NOT THER EQV J0690 500 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; infrared","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97026","description":"Application of a modality to 1 or more areas; infrared","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, tbo-filgrastim, 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1447","description":"Injection, tbo-filgrastim, 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, octafluoropropane microspheres, per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9956","description":"Injection, octafluoropropane microspheres, per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":43.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ESMOLOL HCL WG CRIT CARE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1806","description":"INJ ESMOLOL HCL WG CRIT CARE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEVETIRAC SODI CHLO 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1958","description":"INJ LEVETIRAC SODI CHLO 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOEXL AMNIOEL PLUS/BIODEXL P SC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4137","description":"AMNIOEXL AMNIOEL PLUS/BIODEXL P SC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":229.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1224.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Factor IX (antihemophilic factor, purified, nonrecombinant) per IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7193","description":"Factor IX (antihemophilic factor, purified, nonrecombinant) per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PANTOPRAZOLE SODIUM CHL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2472","description":"INJ PANTOPRAZOLE SODIUM CHL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, calcitriol, 0.1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0636","description":"Injection, calcitriol, 0.1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RIBOFLAVIN EPIOXA/HD<=2ML","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2789","description":"RIBOFLAVIN EPIOXA/HD<=2ML","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41359.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ IFX-AXXQ BIOSIMILR AVSOLA 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5121","description":"INJ IFX-AXXQ BIOSIMILR AVSOLA 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, cefotaxime sodium, per g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0698","description":"Injection, cefotaxime sodium, per g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, basiliximab, 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0480","description":"Injection, basiliximab, 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5335.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ABIO MEM ABIO HYD PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4356","description":"ABIO MEM ABIO HYD PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2550.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"REVITA PER SQUARE CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4180","description":"REVITA PER SQUARE CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1417.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, testosterone cypionate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1071","description":"Injection, testosterone cypionate, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadobenate dimeglumine (MultiHance multipack), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9578","description":"Injection, gadobenate dimeglumine (MultiHance multipack), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone, oral, 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8540","description":"Dexamethasone, oral, 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90685","description":"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, chloramphenicol sodium succinate, up to 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0720","description":"Injection, chloramphenicol sodium succinate, up to 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, Gel-One, for intra-articular injection, per dose","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7326","description":"Hyaluronan or derivative, Gel-One, for intra-articular injection, per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":533.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MICROLYTE MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2005","description":"MICROLYTE MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2999.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB-AEKN BS 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9998","description":"INJ USTEKINUMAB-AEKN BS 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEGFILGRSTM-BMEZ BIOSMLR 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5120","description":"INJ PEGFILGRSTM-BMEZ BIOSMLR 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":319.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DOCETAXEL DOCIVYX 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9172","description":"DOCETAXEL DOCIVYX 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7340","description":"Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":263.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90674","description":"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"TRI MEMBRANE WRAP PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4344","description":"TRI MEMBRANE WRAP PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3454.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, deferoxamine mesylate, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0895","description":"Injection, deferoxamine mesylate, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine, live, oral","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90690","description":"Typhoid vaccine, live, oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION CABOTEGRAVIR & RILPIVIRINE 2MG/3MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0741","description":"INJECTION CABOTEGRAVIR & RILPIVIRINE 2MG/3MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BUPIVACAINE LIPOSOME","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0666","description":"INJ BUPIVACAINE LIPOSOME","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CYTAL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4166","description":"CYTAL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ziconotide, 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2278","description":"Injection, ziconotide, 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, milrinone lactate, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2260","description":"Injection, milrinone lactate, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ECULIZUMAB AEEB 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5152","description":"INJ ECULIZUMAB AEEB 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":40.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TOFIDENCE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5133","description":"INJ TOFIDENCE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIO-MAXX/AMNIO-MAXX LITE P-SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4239","description":"AMNIO-MAXX/AMNIO-MAXX LITE P-SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2295.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, arsenic trioxide, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9017","description":"Injection, arsenic trioxide, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, olaratumab, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9285","description":"Injection, olaratumab, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CELERA D L/CELERA D MEMB PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4259","description":"CELERA D L/CELERA D MEMB PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1351.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59614","description":"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Urine pregnancy test, by visual color comparison methods","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81025","description":"Urine pregnancy test, by visual color comparison methods","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MENACWY-TT MENB-FHBP VACC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90623","description":"MENACWY-TT MENB-FHBP VACC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":271.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SIMPLIMAX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4341","description":"SIMPLIMAX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2996.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, oprelvekin, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2355","description":"Injection, oprelvekin, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":433.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ, FILKRI, 1 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5172","description":"INJ, FILKRI, 1 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, galsulfase, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1458","description":"Injection, galsulfase, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":574.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"OASIS BURN MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4103","description":"OASIS BURN MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tacrolimus, extended release, (Astagraf XL), oral, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7508","description":"Tacrolimus, extended release, (Astagraf XL), oral, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NEOTHELIUM FT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4387","description":"NEOTHELIUM FT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2010.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LIDOCAINE HCL 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2003","description":"INJ LIDOCAINE HCL 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ AMIODARONE NEXTERONE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0283","description":"INJ AMIODARONE NEXTERONE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ EFGARTIGIMD AL 2 MG & HYAL-QVFC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9334","description":"INJ EFGARTIGIMD AL 2 MG & HYAL-QVFC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"STREP A ASSAY W/OPTIC","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87880","description":"STREP A ASSAY W/OPTIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"USTEKINUMAB-TTWE SUB CU INJ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9996","description":"USTEKINUMAB-TTWE SUB CU INJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":341.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CEFTOBIPOLE MEDOCARL 3MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0681","description":"INJ CEFTOBIPOLE MEDOCARL 3MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pegylated interferon alfa-2B, 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0148","description":"Injection, pegylated interferon alfa-2B, 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, peginesatide, 0.1 mg (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0890","description":"Injection, peginesatide, 0.1 mg (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor XIII (antihemophilic factor, human), 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7180","description":"Injection, factor XIII (antihemophilic factor, human), 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, methylnaltrexone, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2212","description":"Injection, methylnaltrexone, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0218","description":"INJECTION OLIPUDASE ALFA-RPCP 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":404.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INTEGRA BMWD PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4104","description":"INTEGRA BMWD PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, intralesional; up to and including 7 lesions","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11900","description":"Injection, intralesional; up to and including 7 lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Yellow fever vaccine, live, for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90717","description":"Yellow fever vaccine, live, for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":276.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Varicella virus vaccine (VAR), live, for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90716","description":"Varicella virus vaccine (VAR), live, for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":217.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEDMARK 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0208","description":"INJ PEDMARK 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":102.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SURGRAFT TL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4263","description":"SURGRAFT TL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1048.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"I CP HCI BAXTR NO TX EQV MXPM 500MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0701","description":"I CP HCI BAXTR NO TX EQV MXPM 500MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, butorphanol tartrate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0595","description":"Injection, butorphanol tartrate, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Rho(D) immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2791","description":"Injection, Rho(D) immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ocrelizumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2350","description":"Injection, ocrelizumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Acoustic reflex testing, threshold","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92568","description":"Acoustic reflex testing, threshold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ NUFYMCO 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5168","description":"INJ NUFYMCO 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TYRUKO 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5134","description":"INJ TYRUKO 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":24.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DOCETAXEL HOSPIRA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9232","description":"INJ DOCETAXEL HOSPIRA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0572","description":"Buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BIVALIRUDIN ENDO 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0582","description":"BIVALIRUDIN ENDO 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Glucose; quantitative, blood (except reagent strip)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82947","description":"Glucose; quantitative, blood (except reagent strip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52310","description":"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":254.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GRP ADAPT BHV PRTCL MODIFCAJ PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97158","description":"GRP ADAPT BHV PRTCL MODIFCAJ PHYS/QHP EA 15 MIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4074","description":"Iloprost, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 20 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":152.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Interfyl, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4171","description":"Interfyl, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DERMAPURE PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4152","description":"DERMAPURE PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ALLOPLY PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4323","description":"ALLOPLY PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1683.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"I BZ FRSNS KB NO TX EQ J9041 0.1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9048","description":"I BZ FRSNS KB NO TX EQ J9041 0.1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for 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, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9309","description":"INJECTION POLATUZUMAB VEDOTIN-PIIQ 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":156.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59400","description":"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2700.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"BIOVNC TRI-LYR/BIOVNC 3L PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4283","description":"BIOVNC TRI-LYR/BIOVNC 3L PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1530.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11420","description":"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":115.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Infusion, normal saline solution, 250 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7050","description":"Infusion, normal saline solution, 250 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), 2 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90620","description":"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), 2 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":271.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ampicillin sodium, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0290","description":"Injection, ampicillin sodium, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ POZELIMAB-BBFG 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9376","description":"INJ POZELIMAB-BBFG 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":87.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Infusion, dextran 40, 500 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7100","description":"Infusion, dextran 40, 500 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":404.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90658","description":"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7626","description":"Budesonide, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, up to 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"TRANEXAMIC ACID IN SOD CHLOR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3291","description":"TRANEXAMIC ACID IN SOD CHLOR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, valrubicin, intravesical, 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9357","description":"Injection, valrubicin, intravesical, 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1277.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DENOSUMAB-BBDZ 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5136","description":"INJ DENOSUMAB-BBDZ 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, potassium chloride, per 2 mEq","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3480","description":"Injection, potassium chloride, per 2 mEq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, octreotide, depot form for intramuscular injection, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2353","description":"Injection, octreotide, depot form for intramuscular injection, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":219.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Vincristine sulfate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9370","description":"Vincristine sulfate, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"WoundEx Flow, BioSkin Flow, 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4162","description":"WoundEx Flow, BioSkin Flow, 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1870.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system, (Kyleena), 19.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7296","description":"Levonorgestrel-releasing intrauterine contraceptive system, (Kyleena), 19.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1526.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, antihemophilic factor VIII/von Willebrand factor complex (human), per factor VIII i.u.","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7186","description":"Injection, antihemophilic factor VIII/von Willebrand factor complex (human), per factor VIII i.u.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CHORIPLY PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4359","description":"CHORIPLY PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2834.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"67027","description":"Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":935.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, factor VIII, (antihemophilic factor, recombinant), (Nuwiq), 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7209","description":"Injection, factor VIII, (antihemophilic factor, recombinant), (Nuwiq), 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"XWRAP PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4204","description":"XWRAP PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2907.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":148.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2050","description":"Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":106.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90632","description":"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEMETREXED DIPOTASSIUM 10MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9292","description":"INJ PEMETREXED DIPOTASSIUM 10MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":79.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MYCOPHENOLAT MYHIBBIN 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7530","description":"MYCOPHENOLAT MYHIBBIN 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"COMPLETE FT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4271","description":"COMPLETE FT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1683.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ESANO ACA PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4275","description":"ESANO ACA PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2188.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, glucagon HCl, per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1610","description":"Injection, glucagon HCl, per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":114.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ALLOPURINOL SODIUM 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0206","description":"INJECTION ALLOPURINOL SODIUM 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION REMIMAZOLAM 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2249","description":"INJECTION REMIMAZOLAM 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ISONIAZID 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1834","description":"INJ ISONIAZID 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"COMPLETE AA PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4303","description":"COMPLETE AA PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3366.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, edaravone, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1301","description":"Injection, edaravone, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LENACAPAVIR HIV TX 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1961","description":"INJ LENACAPAVIR HIV TX 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INSTILL ADSTILADRIN TX DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9029","description":"INSTILL ADSTILADRIN TX DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65200.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45385","description":"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":560.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION PANTOPRAZOLE SODIUM 40 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2470","description":"INJECTION PANTOPRAZOLE SODIUM 40 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90715","description":"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":40.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PALISADE DM MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4350","description":"PALISADE DM MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3570.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIO WRAP2 PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4221","description":"AMNIO WRAP2 PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2040.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1097","description":"phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":120.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, oxymorphone HCl, up to 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2410","description":"Injection, oxymorphone HCl, up to 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TRIAMCINOLONE ACT XIPERE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3299","description":"INJ TRIAMCINOLONE ACT XIPERE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90653","description":"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":116.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, digoxin, up to 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1160","description":"Injection, digoxin, up to 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NEOPATCH OR THERION 1 SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4176","description":"NEOPATCH OR THERION 1 SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":156.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ETHACRYNATE SOD 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1807","description":"INJ ETHACRYNATE SOD 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose and 0.45% normal saline, 1000 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S5010","description":"5% dextrose and 0.45% normal saline, 1000 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52000","description":"Cystourethroscopy (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":224.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1561","description":"Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FUROSCIX 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1947","description":"INJ FUROSCIX 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CYCLOPHOS DR REDDYS 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9073","description":"INJ CYCLOPHOS DR REDDYS 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION SPESOLIMAB-SBZO 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1747","description":"INJECTION SPESOLIMAB-SBZO 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pralatrexate, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9307","description":"Injection, pralatrexate, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":399.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lens material; extracapsular (other than 66840, 66850, 66852)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66940","description":"Removal of lens material; extracapsular (other than 66840, 66850, 66852)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":655.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ferric derisomaltose, 10","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1437","description":"Injection, ferric derisomaltose, 10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dexrazoxane HCl, per 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1190","description":"Injection, dexrazoxane HCl, per 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, leuprolide acetate (for depot suspension), per 3.75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1950","description":"Injection, leuprolide acetate (for depot suspension), per 3.75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1866.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hydroxyzine HCl, up to 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3410","description":"Injection, hydroxyzine HCl, up to 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadobenate dimeglumine (MultiHance), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9577","description":"Injection, gadobenate dimeglumine (MultiHance), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9557","description":"Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":379.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ACESSO TL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4300","description":"ACESSO TL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1861.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"VADADUSTAT ORAL 1MG FOR ESRD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0901","description":"VADADUSTAT ORAL 1MG FOR ESRD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"STENT NONCORONARY TEMPORARY DEL SYS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S1091","description":"STENT NONCORONARY TEMPORARY DEL SYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1759.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"REBOUND MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4296","description":"REBOUND MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2295.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ SULFAMETH/TRIM 5 MG/1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2865","description":"INJ SULFAMETH/TRIM 5 MG/1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ibalizumab-uiyk, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1746","description":"Injection, ibalizumab-uiyk, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":78.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43245","description":"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":243.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pegaspargase, per single dose vial","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9266","description":"Injection, pegaspargase, per single dose vial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30971.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11311","description":"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":85.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive supply, hormone containing patch, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7304","description":"Contraceptive supply, hormone containing patch, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"OMEZA COLLAG COMPL 100 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2014","description":"OMEZA COLLAG COMPL 100 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":81.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ SANDOZ NOT THR EQ J9305 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9297","description":"INJ SANDOZ NOT THR EQ J9305 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"GAMMAGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4111","description":"GAMMAGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ARGATROBAN NOT TX EQV J0884 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0899","description":"INJ ARGATROBAN NOT TX EQV J0884 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4295","description":"AMNIO TRI-CORE AMNIOTIC PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2715.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pentazocine, 30 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3070","description":"Injection, pentazocine, 30 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hepatitis B immune globulin (Hepagam B), intramuscular, 0.5 ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1571","description":"Injection, hepatitis B immune globulin (Hepagam B), intramuscular, 0.5 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":77.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43241","description":"Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":146.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, buprenorphine HCl, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0592","description":"Injection, buprenorphine HCl, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9230","description":"Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":347.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, crotalidae polyvalent immune fab (ovine), up to 1 g","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0840","description":"Injection, crotalidae polyvalent immune fab (ovine), up to 1 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2217.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ADALIMUMAB-RYVK 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5142","description":"INJ ADALIMUMAB-RYVK 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66984","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":760.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1850.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEGZILARGINASE-NBLN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1818","description":"INJ PEGZILARGINASE-NBLN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":289.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, acetylcysteine, 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0132","description":"Injection, acetylcysteine, 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, paricalcitol, 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2501","description":"Injection, paricalcitol, 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97036","description":"Application of a modality to 1 or more areas; Hubbard tank, each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DEPEMOKIMAB-ULAA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2361","description":"INJ DEPEMOKIMAB-ULAA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":275.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2743.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy, rigid; with removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45307","description":"Proctosigmoidoscopy, rigid; with removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":136.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 25 MCG/.25ML IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91321","description":"SARSCOV2 VAC 25 MCG/.25ML IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":139.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DIFELIKEFALIN 0.1 MICROGRAM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0879","description":"INJ DIFELIKEFALIN 0.1 MICROGRAM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90702","description":"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PURAPLY XT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4197","description":"PURAPLY XT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":255.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, insulin, per 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1815","description":"Injection, insulin, per 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Lead","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83655","description":"Lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ VASOPRESSIN AM REG 1 U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2599","description":"INJ VASOPRESSIN AM REG 1 U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, succinylcholine chloride, up to 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0330","description":"Injection, succinylcholine chloride, up to 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ASPARAGINASE RECOMBINANT 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9021","description":"INJ ASPARAGINASE RECOMBINANT 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0092","description":"Injection, hydromorphone HCl, 250 mg (loading dose for infusion pump)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":86.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, paclitaxel, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9267","description":"Injection, paclitaxel, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ZOLBETUXIMAB CLZB 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1326","description":"INJECTION ZOLBETUXIMAB CLZB 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PEG-FPGK STIMUFEND BS0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5127","description":"INJ PEG-FPGK STIMUFEND BS0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":163.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of esophagus, by unguided sound or bougie, single or multiple passes","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43450","description":"Dilation of esophagus, by unguided sound or bougie, single or multiple passes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, antithrombin recombinant, 50 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7196","description":"Injection, antithrombin recombinant, 50 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":143.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ALLODERM PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4116","description":"ALLODERM PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, mesna, 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9209","description":"Injection, mesna, 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11305","description":"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ USTEKINUMAB SRLF IMULDOSA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5098","description":"INJ USTEKINUMAB SRLF IMULDOSA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FOUNDATION DRS+ SOLO SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2042","description":"FOUNDATION DRS+ SOLO SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1555.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11601","description":"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":194.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DAPTOMYCIN (XELLIA)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0873","description":"INJ DAPTOMYCIN (XELLIA)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, caplacizumab-yhdp, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9047","description":"Injection, caplacizumab-yhdp, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":826.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, teriparatide, 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3110","description":"Injection, teriparatide, 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":72.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, pemetrexed (Pemfexy), 10","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9304","description":"Injection, pemetrexed (Pemfexy), 10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7329","description":"Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, piperacillin sodium/tazobactam sodium, 1 g/0.125 g (1.125 g)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2543","description":"Injection, piperacillin sodium/tazobactam sodium, 1 g/0.125 g (1.125 g)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"TELISOTUZUMAB VEDOTIN-TLLV","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9326","description":"TELISOTUZUMAB VEDOTIN-TLLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":140.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11642","description":"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":231.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Infusion, normal saline solution, 1,000 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7030","description":"Infusion, normal saline solution, 1,000 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TEZEPELUMAB-EKKO 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2356","description":"INJECTION TEZEPELUMAB-EKKO 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"FLOTUFOLASTAT F18 DIAG 1 MCI","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9608","description":"FLOTUFOLASTAT F18 DIAG 1 MCI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":700.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NEOX CORD 1K-RT/CLARIX CORD 1K-SC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4148","description":"NEOX CORD 1K-RT/CLARIX CORD 1K-SC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":238.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11308","description":"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":101.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90648","description":"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, daptomycin, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0878","description":"Injection, daptomycin, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DERMACYTE AM ALLOGFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4248","description":"DERMACYTE AM ALLOGFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1330.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION PHENYLEPHRINE HCL 20 MCG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2371","description":"INJECTION PHENYLEPHRINE HCL 20 MCG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, carfilzomib, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9047","description":"Injection, carfilzomib, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, phytonadione (vitamin K), per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3430","description":"Injection, phytonadione (vitamin K), per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"LANTHANUM CARBONATE ORAL 5MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0607","description":"LANTHANUM CARBONATE ORAL 5MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90743","description":"Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":84.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66982","description":"XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":878.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FOSDENOPTERIN 0.1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1809","description":"INJ FOSDENOPTERIN 0.1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, ganciclovir sodium, 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1570","description":"Injection, ganciclovir sodium, 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, benztropine mesylate, per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0515","description":"Injection, benztropine mesylate, per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fomepizole, 15 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1451","description":"Injection, fomepizole, 15 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION PEMIVIBART PRE-EP ONLY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0224","description":"INJECTION PEMIVIBART PRE-EP ONLY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7214.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90378","description":"Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1753.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Blood smear, peripheral, interpretation by physician with written report","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85060","description":"Blood smear, peripheral, interpretation by physician with written report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, menotropins, 75 IU","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0122","description":"Injection, menotropins, 75 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":267.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Megestrol acetate, oral, 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0179","description":"Megestrol acetate, oral, 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, mepolizumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2182","description":"Injection, mepolizumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":34.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ IDACIO 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5144","description":"INJ IDACIO 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Formoterol fumarate, inhalation solution, FDA approved final product, noncompounded, administered through DME, unit dose form, 20 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7606","description":"Formoterol fumarate, inhalation solution, FDA approved final product, noncompounded, administered through DME, unit dose form, 20 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Gallium Ga-67 citrate, diagnostic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9556","description":"Gallium Ga-67 citrate, diagnostic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":137.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Strontium Sr-89 chloride, therapeutic, per millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9600","description":"Strontium Sr-89 chloride, therapeutic, per millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3825.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; hot or cold packs","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97010","description":"Application of a modality to 1 or more areas; hot or cold packs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ADALIMUMAB-FKJP 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5140","description":"INJ ADALIMUMAB-FKJP 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":12.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TECLISTAMAB-CQYV 0.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9380","description":"INJECTION TECLISTAMAB-CQYV 0.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TRANEXAMIC ACID 5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3290","description":"INJ TRANEXAMIC ACID 5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, C-1 esterase inhibitor (human), Cinryze, 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0598","description":"Injection, C-1 esterase inhibitor (human), Cinryze, 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/>","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92014","description":"OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":70.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, hyaluronidase, ovine, preservative free, per 1 USP unit (up to 999 USP units)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3471","description":"Injection, hyaluronidase, ovine, preservative free, per 1 USP unit (up to 999 USP units)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1575","description":"Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"NARSOPLIMAB-WUUG 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1289","description":"NARSOPLIMAB-WUUG 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":100.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"WOUNDPLUS PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4326","description":"WOUNDPLUS PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1593.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT>48 HR DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0163","description":"DIPHENHYDRAMINE HCL 50 MG ORAL NOT>48 HR DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, temozolomide, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9328","description":"Injection, temozolomide, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11602","description":"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":231.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ PALONOSETRON","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2468","description":"INJ PALONOSETRON","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Tocilizumab for COVID 19","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0249","description":"Tocilizumab for COVID 19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INFLUENZA ASSAY W/OPTIC","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87804","description":"INFLUENZA ASSAY W/OPTIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Rho(D) immune globulin (RhIgIV), human, for intravenous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90386","description":"Rho(D) immune globulin (RhIgIV), human, for intravenous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"17000","description":"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"COMPLETE SL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4270","description":"COMPLETE SL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3319.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ENSIFENTRINE INH 3 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7601","description":"ENSIFENTRINE INH 3 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90621","description":"Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":243.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"CLTA CL TO 100 M AUT BCMA CR-P TC D","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2056","description":"CLTA CL TO 100 M AUT BCMA CR-P TC D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":566088.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, calcitonin salmon, up to 400 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0630","description":"Injection, calcitonin salmon, up to 400 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":816.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION ORITAVANCIN ORBACTIV 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2407","description":"INJECTION ORITAVANCIN ORBACTIV 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, sincalide, 5 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2805","description":"Injection, sincalide, 5 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":158.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fluocinolone acetonide, intravitreal implant (Iluvien), 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7313","description":"Injection, fluocinolone acetonide, intravitreal implant (Iluvien), 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":487.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Infusion, D-5-W, 1,000 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7070","description":"Infusion, D-5-W, 1,000 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION CALCIUM CHLORIDE 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0618","description":"INJECTION CALCIUM CHLORIDE 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BEQVEZ PER TX DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1414","description":"INJ BEQVEZ PER TX DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3500490.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"PROCHLORPERAZINE MALEATE 5 MG ORL NOT>48 HR DOSE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0164","description":"PROCHLORPERAZINE MALEATE 5 MG ORL NOT>48 HR DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION MELPHALAN EVOMELA 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9246","description":"INJECTION MELPHALAN EVOMELA 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":18.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"11620","description":"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":155.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean delivery only; including postpartum care","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"59515","description":"Cesarean delivery only; including postpartum care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2000.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"VITOGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4317","description":"VITOGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2919.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, aripiprazole, intramuscular, 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0400","description":"Injection, aripiprazole, intramuscular, 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"TOPI ADM PRAD ZAMI PER TREAT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3389","description":"TOPI ADM PRAD ZAMI PER TREAT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3147490.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION VUTRISIRAN 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0225","description":"INJECTION VUTRISIRAN 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5008.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ADALIMUMAB-AATY 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5141","description":"INJ ADALIMUMAB-AATY 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99204","description":"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":91.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Sedimentation rate, erythrocyte; automated","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85652","description":"Sedimentation rate, erythrocyte; automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MENB-4C&MENACWY VACC IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90624","description":"MENB-4C&MENACWY VACC IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":286.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1454","description":"Injection, fosnetupitant 235 mg and palonosetron 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":520.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dihydroergotamine mesylate, per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1110","description":"Injection, dihydroergotamine mesylate, per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9584","description":"Iodine I-123 ioflupane, diagnostic, per study dose, up to 5 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2776.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TOCILIZUMAB-ANOH 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5156","description":"INJ TOCILIZUMAB-ANOH 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BETIBEGLOGENE AUTOTEMCE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3393","description":"INJ BETIBEGLOGENE AUTOTEMCE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2800490.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, fulvestrant, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9395","description":"Injection, fulvestrant, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ECULIZUMAB AAGH 2 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5151","description":"INJ ECULIZUMAB AAGH 2 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":31.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Cyclophosphamide, oral, 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8530","description":"Cyclophosphamide, oral, 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45384","description":"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":438.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, golimumab, 1 mg, for intravenous use","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1602","description":"Injection, golimumab, 1 mg, for intravenous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ CYCLOPHOSPHAMD SANDOZ","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9074","description":"INJ CYCLOPHOSPHAMD SANDOZ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, meropenem and vaborbactam, 10mg/10mg, (20mg)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2186","description":"Injection, meropenem and vaborbactam, 10mg/10mg, (20mg)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION GLOFITAMAB-GXBM 2.5 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9286","description":"INJECTION GLOFITAMAB-GXBM 2.5 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2738.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Installation, ciprofloxacin otic suspension, 6 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7342","description":"Installation, ciprofloxacin otic suspension, 6 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ARDEOGRAFT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4333","description":"ARDEOGRAFT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":722.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Heparin sodium, per 1000 units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1644","description":"Injection, Heparin sodium, per 1000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"EPIEFFECT PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4278","description":"EPIEFFECT PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":510.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"RSV MONOC ANTB SEASN .7ML IM","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90382","description":"RSV MONOC ANTB SEASN .7ML IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":567.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, laronidase, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1931","description":"Injection, laronidase, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"EMERGE MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4297","description":"EMERGE MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2142.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93010","description":"Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION GOLODIRSEN 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1429","description":"INJECTION GOLODIRSEN 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":161.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Etoposide, oral, 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8560","description":"Etoposide, oral, 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"LILETTA 52 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7297","description":"LILETTA 52 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1173.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; diathermy (eg, microwave)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97024","description":"Application of a modality to 1 or more areas; diathermy (eg, microwave)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90376","description":"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":461.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body, shoulder; subcutaneous","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"23330","description":"Removal of foreign body, shoulder; subcutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":209.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"WNDFIX BIOWND WNDFIX + X + /X+ P SC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4217","description":"WNDFIX BIOWND WNDFIX + X + /X+ P SC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1451.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, canakinumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0638","description":"Injection, canakinumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":170.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ETHIN ESTR&ETON 0.015 0.12MG/24H VG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7295","description":"ETHIN ESTR&ETON 0.015 0.12MG/24H VG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":157.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MIROTRACT MATRIX SHEET","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2029","description":"MIROTRACT MATRIX SHEET","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":425.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, tenecteplase, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3101","description":"Injection, tenecteplase, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":250.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, midazolam HCl, per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2250","description":"Injection, midazolam HCl, per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LIDOCAINE W EPINEPHRINE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2004","description":"INJ LIDOCAINE W EPINEPHRINE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Neox Flo or Clarix Flo 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4155","description":"Neox Flo or Clarix Flo 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, sterile cefuroxime sodium, per 750 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0697","description":"Injection, sterile cefuroxime sodium, per 750 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"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":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"I CP HCI B BRN NO TX EQV MXPM 500MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0703","description":"I CP HCI B BRN NO TX EQV MXPM 500MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ELRANATAMAB-BCMM 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1323","description":"INJ ELRANATAMAB-BCMM 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":186.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90700","description":"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5114","description":"INJECTION TRASTUZUMAB-DKST BIOSIMILAR 10 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":27.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, bivalirudin, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0583","description":"Injection, bivalirudin, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ GEM HCI NOT THR EQ J9201 200 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9196","description":"INJ GEM HCI NOT THR EQ J9201 200 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Pentamidine isethionate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2545","description":"Pentamidine isethionate, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, per 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":72.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, talimogene laherparepvec, per 1 million plaque forming units","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9325","description":"Injection, talimogene laherparepvec, per 1 million plaque forming units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":84.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TORIPALIMAB-TPZI 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3263","description":"INJ TORIPALIMAB-TPZI 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":40.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5117","description":"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":64.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, aflibercept, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0178","description":"Injection, aflibercept, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":722.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION TREMELIMUMAB-ACTL 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9347","description":"INJECTION TREMELIMUMAB-ACTL 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":146.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ LEUCOVORIN CAL AVYXA","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0644","description":"INJ LEUCOVORIN CAL AVYXA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ AVACINCAPTAD PEGOL 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2782","description":"INJ AVACINCAPTAD PEGOL 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":100.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOCORE SL PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4367","description":"AMNIOCORE SL PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":561.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97155","description":"ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, human fibrinogen concentrate (fibryga), 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7177","description":"Injection, human fibrinogen concentrate (fibryga), 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ BORTEZOMIB BORUZU 0.1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9054","description":"INJ BORTEZOMIB BORUZU 0.1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, prochlorperazine, up to 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0780","description":"Injection, prochlorperazine, up to 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90670","description":"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":244.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ VEDOLIZUMAB IV 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3380","description":"INJ VEDOLIZUMAB IV 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"ENCLOSE TL MATRIX PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4351","description":"ENCLOSE TL MATRIX PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3825.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION THIOTEPA TEPYLUTE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9341","description":"INJECTION THIOTEPA TEPYLUTE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":37.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Hospital discharge day management; 30 minutes or less","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99238","description":"Hospital discharge day management; 30 minutes or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ INDIGOTINDISULFONATE SOD 1MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9220","description":"INJ INDIGOTINDISULFONATE SOD 1MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ALYGLO 500 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1552","description":"INJ ALYGLO 500 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":120.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ ONASE ABEPAR-BRVE TREAT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3405","description":"INJ ONASE ABEPAR-BRVE TREAT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2601167.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, enoxaparin sodium, 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1650","description":"Injection, enoxaparin sodium, 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, Rho D immune globulin, human, full dose, 300 mcg (1500 i.u.)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2790","description":"Injection, Rho D immune globulin, human, full dose, 300 mcg (1500 i.u.)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ TARLATAMAB-DLLE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9026","description":"INJ TARLATAMAB-DLLE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1571.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Blood count; hemoglobin (Hgb)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"85018","description":"Blood count; hemoglobin (Hgb)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, elotuzumab, 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9176","description":"Injection, elotuzumab, 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97014","description":"Application of a modality to 1 or more areas; electrical stimulation (unattended)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Skin test; tuberculosis, intradermal","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86580","description":"Skin test; tuberculosis, intradermal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"REVAKINAGENE PER IMPLANT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3403","description":"REVAKINAGENE PER IMPLANT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":250245.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ FAM-TRSTUZUMB DRUXTCN-NXKI 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9358","description":"INJ FAM-TRSTUZUMB DRUXTCN-NXKI 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2916","description":"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, plazomicin, 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0291","description":"Injection, plazomicin, 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; paraffin bath","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97018","description":"Application of a modality to 1 or more areas; paraffin bath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"per diem","negotiated_rate":45.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66821","description":"Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or more stages)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":268.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MATRION PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4201","description":"MATRION PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":285.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3030","description":"INJECTION SUMATRIPTAN SUCCINATE 6 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ HYDROXOCOBALAMIN IV 25MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3424","description":"INJ HYDROXOCOBALAMIN IV 25MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, dexamethasone, intravitreal implant, 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7312","description":"Injection, dexamethasone, intravitreal implant, 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":190.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Mifepristone, oral, 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S0190","description":"Mifepristone, oral, 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, bevacizumab, 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9257","description":"Injection, bevacizumab, 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"INJ DOXYCYCLINE HYCLATE 1 MG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1271","description":"INJ DOXYCYCLINE HYCLATE 1 MG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, gadoteridol, (ProHance multipack), per ml","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9576","description":"Injection, gadoteridol, (ProHance multipack), per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"MEMBRANE GFT/MEMBRANE WRAP P SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4205","description":"MEMBRANE GFT/MEMBRANE WRAP P SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1428.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOCORE PRO PER SQ CM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4298","description":"AMNIOCORE PRO PER SQ CM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2152.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93325","description":"Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"AFFINITY PER SQUARE CENTIMETER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4159","description":"AFFINITY PER SQUARE CENTIMETER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1020.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie)","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"45303","description":"Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Injection, darbepoetin alfa, 1 mcg (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0882","description":"Injection, darbepoetin alfa, 1 mcg (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]},
{"negotiation_arrangement":"ffs","name":"Excellagen, 0.1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4149","description":"Excellagen, 0.1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":147.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1804856463]}]}]}