{
  "reporting_entity_name": "Emblemhealth_GHI",
  "reporting_entity_type": "Health Insurance Issuer",
  "last_updated_on": "2026-06-22",
  "version": "1.0.0",
  "provider_references": [
    {
      "provider_group_id": 1786691226,
      "provider_groups": [
        {
          "npi": [
            1043267727
          ],
          "tin": {
            "type": "ein",
            "value": "141338544"
          }
        }
      ]
    }
  ],
  "in_network": [
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Drugs Incident to Radiology",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0255",
      "description": "Pharmacy - Drugs Incident to Radiology",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Drugs Incident to Radiology",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0255",
      "description": "Pharmacy - Drugs Incident to Radiology",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Physical Therapy - Visit Charge",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0421",
      "description": "Physical Therapy - Visit Charge",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Other Pharmacy",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0259",
      "description": "Pharmacy - Other Pharmacy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Other Pharmacy",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0259",
      "description": "Pharmacy - Other Pharmacy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Experimental Drugs",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0256",
      "description": "Pharmacy - Experimental Drugs",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Experimental Drugs",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0256",
      "description": "Pharmacy - Experimental Drugs",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0250",
      "description": "Pharmacy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0250",
      "description": "Pharmacy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0274",
      "description": "Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 60.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0274",
      "description": "Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0274",
      "description": "Medical/Surgical Supplies & Devices - Prosthetic/Orthotic Devices",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 60.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Speech-Language Pathology - Visit Charge",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0441",
      "description": "Speech-Language Pathology - Visit Charge",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Non-Generic Drugs",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0252",
      "description": "Pharmacy - Non-Generic Drugs",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Non-Generic Drugs",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0252",
      "description": "Pharmacy - Non-Generic Drugs",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Generic Drugs",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0251",
      "description": "Pharmacy - Generic Drugs",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Generic Drugs",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0251",
      "description": "Pharmacy - Generic Drugs",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Identification - Single Source Drug",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0631",
      "description": "Drugs Requiring Specific Identification - Single Source Drug",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Identification - Single Source Drug",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0631",
      "description": "Drugs Requiring Specific Identification - Single Source Drug",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Packed Red Cells",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0381",
      "description": "Blood - Packed Red Cells",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Packed Red Cells",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0381",
      "description": "Blood - Packed Red Cells",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Speech-Language Pathology - Hourly Charge",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0442",
      "description": "Speech-Language Pathology - Hourly Charge",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Identification",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0630",
      "description": "Drugs Requiring Specific Identification",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Identification",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0630",
      "description": "Drugs Requiring Specific Identification",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood Storage & Processing",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0390",
      "description": "Blood Storage & Processing",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood Storage & Processing",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0390",
      "description": "Blood Storage & Processing",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Drugs Incident to Other Diagnostic Services",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0254",
      "description": "Pharmacy - Drugs Incident to Other Diagnostic Services",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Drugs Incident to Other Diagnostic Services",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0254",
      "description": "Pharmacy - Drugs Incident to Other Diagnostic Services",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood Storage & Processing - Other Blood Storage & Processing",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0399",
      "description": "Blood Storage & Processing - Other Blood Storage & Processing",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Occupational Therapy - Visit Charge",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0431",
      "description": "Occupational Therapy - Visit Charge",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood Storage & Processing - Other Blood Storage & Processing",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0399",
      "description": "Blood Storage & Processing - Other Blood Storage & Processing",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0380",
      "description": "Blood",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0380",
      "description": "Blood",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Medical/Surgical Supplies and Devices - Intraocular Lens",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0276",
      "description": "Medical/Surgical Supplies and Devices - Intraocular Lens",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Medical/Surgical Supplies and Devices - Intraocular Lens",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0276",
      "description": "Medical/Surgical Supplies and Devices - Intraocular Lens",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 60.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Medical/Surgical Supplies and Devices - Intraocular Lens",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0276",
      "description": "Medical/Surgical Supplies and Devices - Intraocular Lens",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 60.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood Processing & Storage",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0392",
      "description": "Blood Processing & Storage",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood Processing & Storage",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0392",
      "description": "Blood Processing & Storage",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Plasma",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0383",
      "description": "Blood - Plasma",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Plasma",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0383",
      "description": "Blood - Plasma",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0634",
      "description": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0635",
      "description": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0634",
      "description": "Drugs Req Spec Ident - Erythropoietin (EPO) less than 10,000 units",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0635",
      "description": "Drugs Requiring Specific Ident - Erythropoietin (EPO) >10,000 units",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Physical Therapy - Group Rate",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0423",
      "description": "Physical Therapy - Group Rate",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Other Derivatives (Cryoprecipitates)",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0387",
      "description": "Blood - Other Derivatives (Cryoprecipitates)",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Other Derivatives (Cryoprecipitates)",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0387",
      "description": "Blood - Other Derivatives (Cryoprecipitates)",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Occupational Therapy - Hourly Charge",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0432",
      "description": "Occupational Therapy - Hourly Charge",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Whole Blood",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0382",
      "description": "Blood - Whole Blood",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Whole Blood",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0382",
      "description": "Blood - Whole Blood",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Other Components",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0386",
      "description": "Blood - Other Components",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Other Components",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0386",
      "description": "Blood - Other Components",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Physical Therapy",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0420",
      "description": "Physical Therapy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Self-administrable drugs not requiring detailed coding",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0637",
      "description": "Self-administrable drugs not requiring detailed coding",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Self-administrable drugs not requiring detailed coding",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0637",
      "description": "Self-administrable drugs not requiring detailed coding",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Platelets",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0384",
      "description": "Blood - Platelets",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Platelets",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0384",
      "description": "Blood - Platelets",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Medical/Surgical Supplies and Devices - Other Implants",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0278",
      "description": "Medical/Surgical Supplies and Devices - Other Implants",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 60.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Medical/Surgical Supplies and Devices - Other Implants",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0278",
      "description": "Medical/Surgical Supplies and Devices - Other Implants",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Medical/Surgical Supplies and Devices - Other Implants",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0278",
      "description": "Medical/Surgical Supplies and Devices - Other Implants",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 60.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Medical/Surgical Supplies and Devices - Pace Maker",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0275",
      "description": "Medical/Surgical Supplies and Devices - Pace Maker",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 60.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Medical/Surgical Supplies and Devices - Pace Maker",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0275",
      "description": "Medical/Surgical Supplies and Devices - Pace Maker",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Medical/Surgical Supplies and Devices - Pace Maker",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0275",
      "description": "Medical/Surgical Supplies and Devices - Pace Maker",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 60.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Occupational Therapy - Other Occupational Therapy",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0439",
      "description": "Occupational Therapy - Other Occupational Therapy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Occupational Therapy - Evaluation or Re-evaluation",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0434",
      "description": "Occupational Therapy - Evaluation or Re-evaluation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Speech-Language Pathology - Other Speech-Language Pathology",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0449",
      "description": "Speech-Language Pathology - Other Speech-Language Pathology",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Occupational Therapy - Group Rate",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0433",
      "description": "Occupational Therapy - Group Rate",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - IV Solutions",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0258",
      "description": "Pharmacy - IV Solutions",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - IV Solutions",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0258",
      "description": "Pharmacy - IV Solutions",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Non-Prescription",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0257",
      "description": "Pharmacy - Non-Prescription",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Non-Prescription",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0257",
      "description": "Pharmacy - Non-Prescription",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Identification - Multiple Source Drug",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0632",
      "description": "Drugs Requiring Specific Identification - Multiple Source Drug",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Identification - Multiple Source Drug",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0632",
      "description": "Drugs Requiring Specific Identification - Multiple Source Drug",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "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": "per diem",
              "negotiated_rate": 4042.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Polysomnography; younger than 6 years, 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": "95782",
      "description": "Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologist",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 6063.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)",
      "billing_code_type": "HCPCS",
      "billing_code_type_version": "2026",
      "billing_code": "S2900",
      "description": "Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 10304.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "95807",
      "description": "Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 4042.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "95783",
      "description": "POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 6063.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "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": "per diem",
              "negotiated_rate": 4042.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "95806",
      "description": "Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 4042.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG",
      "billing_code_type": "CPT",
      "billing_code_type_version": "2026",
      "billing_code": "95805",
      "description": "MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 4042.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Physical Therapy - Evaluation or Re-evaluation",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0424",
      "description": "Physical Therapy - Evaluation or Re-evaluation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Speech-Language Pathology",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0440",
      "description": "Speech-Language Pathology",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Speech-Language Pathology - Group Rate",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0443",
      "description": "Speech-Language Pathology - Group Rate",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Speech-Language Pathology - Evaluation or Re-evaluation",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0444",
      "description": "Speech-Language Pathology - Evaluation or Re-evaluation",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Take Home Drugs",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0253",
      "description": "Pharmacy - Take Home Drugs",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Pharmacy - Take Home Drugs",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0253",
      "description": "Pharmacy - Take Home Drugs",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Nuclear Medicine - Therapeutic Radiopharmaceuticals",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0344",
      "description": "Nuclear Medicine - Therapeutic Radiopharmaceuticals",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Nuclear Medicine - Therapeutic Radiopharmaceuticals",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0344",
      "description": "Nuclear Medicine - Therapeutic Radiopharmaceuticals",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 50.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Nuclear Medicine - Therapeutic Radiopharmaceuticals",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0344",
      "description": "Nuclear Medicine - Therapeutic Radiopharmaceuticals",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 50.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Identification - Restrictive Prescription",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0633",
      "description": "Drugs Requiring Specific Identification - Restrictive Prescription",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0636",
      "description": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 50.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Occupational Therapy",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0430",
      "description": "Occupational Therapy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Other Blood",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0389",
      "description": "Blood - Other Blood",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0636",
      "description": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Physical Therapy - Hourly Charge",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0422",
      "description": "Physical Therapy - Hourly Charge",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Other Blood",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0389",
      "description": "Blood - Other Blood",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Leukocytes",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0385",
      "description": "Blood - Leukocytes",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Physical Therapy - Other Physical Therapy",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0429",
      "description": "Physical Therapy - Other Physical Therapy",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "per diem",
              "negotiated_rate": 316.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Blood - Leukocytes",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0385",
      "description": "Blood - Leukocytes",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Nuclear Medicine - Diagnostic Radiopharmaceuticals",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0343",
      "description": "Nuclear Medicine - Diagnostic Radiopharmaceuticals",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 50.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Nuclear Medicine - Diagnostic Radiopharmaceuticals",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0343",
      "description": "Nuclear Medicine - Diagnostic Radiopharmaceuticals",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 50.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Nuclear Medicine - Diagnostic Radiopharmaceuticals",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0343",
      "description": "Nuclear Medicine - Diagnostic Radiopharmaceuticals",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0636",
      "description": "Drugs Requiring Specific Ident - Drugs Requiring Detailed Coding",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "percentage",
              "negotiated_rate": 50.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    },
    {
      "negotiation_arrangement": "ffs",
      "name": "Drugs Requiring Specific Identification - Restrictive Prescription",
      "billing_code_type": "RC",
      "billing_code_type_version": "2026",
      "billing_code": "0633",
      "description": "Drugs Requiring Specific Identification - Restrictive Prescription",
      "negotiated_rates": [
        {
          "negotiated_prices": [
            {
              "negotiated_type": "negotiated",
              "negotiated_rate": 0.0,
              "expiration_date": "9999-12-31",
              "billing_class": "institutional"
            }
          ],
          "provider_references": [
            1786691226
          ]
        }
      ]
    }
  ]
}