{"reporting_entity_name": "Emblemhealth_GHI_ASO","reporting_entity_type": "Third Party","last_updated_on": "2026-06-22","version": "1.0.0","provider_references": [                                                                                                                                                                       
{"provider_group_id":1038215774,"provider_groups":[{"npi":[1013093053],"tin":{"type":"ein","value":"222920203"}},{"npi":[1376544718],"tin":{"type":"ein","value":"222920203"}}]}
],"in_network": [
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6629","description":"Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":160.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7400","description":"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, ultralight material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":276.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of an orthosis from one shoe to another, solid stirrup, existing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3620","description":"Transfer of an orthosis from one shoe to another, solid stirrup, existing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Wrist-hand-finger orthotic (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3900","description":"Wrist-hand-finger orthotic (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, wrist or finger driven, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1091.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6676","description":"Upper extremity addition, harness, (e.g., figure of eight type), dual cable design","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":133.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Additions to lower extremity, total contact, above knee or knee disarticulation socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5650","description":"Additions to lower extremity, total contact, above knee or knee disarticulation socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":597.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC OTTO BOCK/=SWTCH CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6960","description":"SHLDR DISARTIC OTTO BOCK/=SWTCH CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":11060.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2650","description":"Addition to lower extremity, pelvic and thoracic control, gluteal pad, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":106.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A&P PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0631","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID A&P PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":923.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Heel, counter, plastic reinforced","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3430","description":"Heel, counter, plastic reinforced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":144.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock, single ply, fitting, upper limb, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8485","description":"Prosthetic sock, single ply, fitting, upper limb, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2090","description":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, unilateral torsion cable, ball bearing hip joint, pelvic band/ belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":377.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Finger orthotic, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3935","description":"Finger orthotic, nontorsion joint, may include soft interface, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":180.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"BELW ELB OTTO BOCK/=SWITCH CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6930","description":"BELW ELB OTTO BOCK/=SWITCH CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6165.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, leather socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5638","description":"Addition to lower extremity, below knee, leather socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":537.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3918","description":"Hand orthosis, metacarpal fracture orthosis, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":86.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6590","description":"PREP SHLDR DISRTC THOR 1 WALL SOCKET DIR FORM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2467.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Below knee, molded socket, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5100","description":"Below knee, molded socket, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2327.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, foot, multiaxial ankle/foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5978","description":"All lower extremity prostheses, foot, multiaxial ankle/foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":267.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity additions, polycentric hinge, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6600","description":"Upper extremity additions, polycentric hinge, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":229.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace molded calf lacer, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4050","description":"Replace molded calf lacer, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":474.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock, multiple ply, above knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8430","description":"Prosthetic sock, multiple ply, above knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0700","description":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO), anterior-posterior-lateral control, molded to patient model, (Minerva type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1742.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), plastic with ankle joint, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1970","description":"Ankle-foot orthotic (AFO), plastic with ankle joint, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":813.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock, multiple ply, below knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8420","description":"Prosthetic sock, multiple ply, below knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Other scoliosis procedure, body jacket molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1300","description":"Other scoliosis procedure, body jacket molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1919.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, test socket, above knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5624","description":"Addition to lower extremity, test socket, above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":385.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8607","description":"Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), full plastic, with or without free motion knee, multi-axis ankle, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2038","description":"Knee-ankle-foot orthotic (KAFO), full plastic, with or without free motion knee, multi-axis ankle, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1618.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thoracic control, thoracic band","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2660","description":"Addition to lower extremity, thoracic control, thoracic band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":160.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8511","description":"Insert for indwelling tracheoesophageal prosthesis, with or without valve, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot, arch support, removable, premolded, metatarsal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3050","description":"Foot, arch support, removable, premolded, metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":42.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, thigh lacer, nonmolded","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5680","description":"Addition to lower extremity, below knee, thigh lacer, nonmolded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":357.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), spring wire, dorsiflexion assist calf band, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1900","description":"Ankle-foot orthotic (AFO), spring wire, dorsiflexion assist calf band, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":232.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, limited motion knee joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2184","description":"Addition to lower extremity fracture orthotic, limited motion knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":106.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8603","description":"Injectable bulking agent, collagen implant, urinary tract, 2.5 ml syringe, includes shipping and necessary supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":400.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthotic (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3730","description":"Elbow orthotic (EO), double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":991.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, shank foot system with vertical loading pylon","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5987","description":"All lower extremity prostheses, shank foot system with vertical loading pylon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6484.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, Symes type, posterior opening (Canadian) socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5634","description":"Addition to lower extremity, Symes type, posterior opening (Canadian) socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":327.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, sport/recreational/work attachment, any material, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6704","description":"Terminal device, sport/recreational/work attachment, any material, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":538.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, soft, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2132","description":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, soft, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":926.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, drop lock knee joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2182","description":"Addition to lower extremity fracture orthotic, drop lock knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":79.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"HO BI THIGHCUFFS W SPRDR BAR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1652","description":"HO BI THIGHCUFFS W SPRDR BAR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":320.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, test socket, below knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5620","description":"Addition to lower extremity, test socket, below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":302.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture orthotic, soft, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2112","description":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture orthotic, soft, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":510.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Heel, counter, leather reinforced","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3440","description":"Heel, counter, leather reinforced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0625","description":"LUMBAR ORTHOSIS FLEXIBLE PREFABRICATED OFF SHELF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, passive hand/mitt, any material, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6703","description":"Terminal device, passive hand/mitt, any material, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":397.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0174","description":"Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":236.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, knee disarticulation, leather socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5640","description":"Addition to lower extremity, knee disarticulation, leather socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":782.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), plastic or other material, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1940","description":"Ankle-foot orthotic (AFO), plastic or other material, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":541.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Six volt battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7360","description":"Six volt battery, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":278.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1600","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEX FREJKA PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":111.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, foot, flexible keel","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5972","description":"All lower extremity prostheses, foot, flexible keel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":323.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5811","description":"Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":669.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Heel wedge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3350","description":"Heel wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5848","description":"Addition to endoskeletal knee-shin system, fluid stance extension, dampening feature, with or without adjustability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":969.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthosis (HO), abduction control of hip joint, postoperative hip abduction type, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1685","description":"Hip orthosis (HO), abduction control of hip joint, postoperative hip abduction type, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1025.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Immediate postsurgical or early fitting, application of rigid dressing only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6388","description":"Immediate postsurgical or early fitting, application of rigid dressing only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":403.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5656","description":"Addition to lower extremity, socket insert, knee disarticulation (Kemblo, Pelite, Aliplast, Plastazote or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":445.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"WALKING BOOT PNEUMATC &/ VACUUM PREFAB CUSTM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4360","description":"WALKING BOOT PNEUMATC &/ VACUUM PREFAB CUSTM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":247.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder-elbow-wrist-hand orthotic (SEWHO), abduction positioning, Erb's palsy design, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3962","description":"Shoulder-elbow-wrist-hand orthotic (SEWHO), abduction positioning, Erb's palsy design, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":605.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ELEC STM SUP EXT IMPLNT NEUROSTM PM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8678","description":"ELEC STM SUP EXT IMPLNT NEUROSTM PM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7405","description":"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, acrylic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":655.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, pelvic control belt, light","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5692","description":"Addition to lower extremity, above knee, pelvic control belt, light","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":122.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, above knee - knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, prefabricated adjustable open end socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5585","description":"Preparatory, above knee - knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, prefabricated adjustable open end socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2349.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, high roll cuff","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2550","description":"Addition to lower extremity, thigh/weight bearing, high roll cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":300.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, semi-rigid, adjustable (plastic collar)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0140","description":"Cervical, semi-rigid, adjustable (plastic collar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, kyphosis pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1020","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, kyphosis pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5331","description":"Hip disarticulation, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4270.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1847","description":"KNEE ORTHOSIS DOUBLE UPRIGHT AIR PREFAB CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":517.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, rotation wrist unit with cable lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6625","description":"Upper extremity addition, rotation wrist unit with cable lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":488.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS RIGID/SEMI-RIGID PANL PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0623","description":"SACROILIAC ORTHOSIS RIGID/SEMI-RIGID PANL PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":90.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, test socket, elbow disarticulation or above elbow","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6682","description":"Upper extremity addition, test socket, elbow disarticulation or above elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":287.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hallux implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8642","description":"Hallux implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":281.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD LOW EXT MAN AUT VOL ANY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5657","description":"ADD LOW EXT MAN AUT VOL ANY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":229.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0650","description":"LSO SAGITTAL-CORONAL CONTRL RIGD ANT POST PANELS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":607.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5781","description":"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3606.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace soft interface material, foot drop splint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4394","description":"Replace soft interface material, foot drop splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0633","description":"LUMB-SAC ORTHOS SAGIT-COR CNTRL RIGD POST PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":257.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2300","description":"Addition to lower extremity, abduction bar (bilateral hip involvement), jointed, adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":309.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5714","description":"Addition, exoskeletal knee-shin system, single axis, variable friction swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":398.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthotic (KAFO), each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2387","description":"Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthotic (KAFO), each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":142.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, toe tap, standard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3550","description":"Orthopedic shoe addition, toe tap, standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, sternal pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1050","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, sternal pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":71.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, plastic shoe insert with ankle joints","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2180","description":"Addition to lower extremity fracture orthotic, plastic shoe insert with ankle joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":100.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Implantable neurostimulator radiofrequency receiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8682","description":"Implantable neurostimulator radiofrequency receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5373.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Heel, new rubber, standard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3460","description":"Heel, new rubber, standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2500","description":"Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":271.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"HO ABDUCTION STATIC OTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1653","description":"HO ABDUCTION STATIC OTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":320.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthotic)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3225","description":"Orthopedic footwear, man's shoe, oxford, used as an integral part of a brace (orthotic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"INTERSCAP-THOR OTTO BOCK/=MYOELEC CNTRL TERM DVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6975","description":"INTERSCAP-THOR OTTO BOCK/=MYOELEC CNTRL TERM DVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14673.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0464","description":"TLSO TRIPLANAR 4 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1337.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, above knee or hip disarticulation, alignable system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5920","description":"Addition, endoskeletal system, above knee or hip disarticulation, alignable system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":487.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, manual lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5810","description":"Addition, endoskeletal knee-shin system, single axis, manual lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":461.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0490","description":"TLSO SAGIT-CORONAL W/OVRLAP REINFORCED ANT PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":254.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthotic (KO), modification of supracondylar prosthetic socket, custom fabricated (SK)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1860","description":"Knee orthotic (KO), modification of supracondylar prosthetic socket, custom fabricated (SK)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1126.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6895","description":"Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":512.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar-sacral orthotic (LSO), corset front","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0972","description":"Lumbar-sacral orthotic (LSO), corset front","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":98.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration (shading and measurements included), replacement glove for above","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6915","description":"Hand restoration (shading and measurements included), replacement glove for above","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":574.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2250","description":"Addition to lower extremity, foot plate, molded to patient model, stirrup attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":306.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, rigid, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2136","description":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, rigid, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1358.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Custom shaped protective cover, hip disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5707","description":"Custom shaped protective cover, hip disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1254.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, shoulder harness","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5699","description":"All lower extremity prostheses, shoulder harness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":174.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, socket insert, above knee (Kemblo, Pelite, Aliplast, Plastazote or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5658","description":"Addition to lower extremity, socket insert, above knee (Kemblo, Pelite, Aliplast, Plastazote or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":359.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to knee joint, lift loop for drop lock ring","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2492","description":"Addition to knee joint, lift loop for drop lock ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":100.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity fracture orthotic, humeral, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3980","description":"Upper extremity fracture orthotic, humeral, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":298.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Artificial cornea","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8609","description":"Artificial cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5872.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD LW EXTRM BELW KNEE ACRYLC SOCKT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5629","description":"ADD LW EXTRM BELW KNEE ACRYLC SOCKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":389.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6713","description":"Terminal device, hand, mechanical, voluntary opening, any material, any size, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1408.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Auricular prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8045","description":"Auricular prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2644.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PART HAND FINGER DISTAL AMP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6034","description":"PART HAND FINGER DISTAL AMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":264.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthotic (EO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3702","description":"Elbow orthotic (EO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":236.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Metatarsal bar wedge, rocker","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3400","description":"Metatarsal bar wedge, rocker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot, insert/plate, removable, addition to lower extremity orthotic, high strength, lightweight material, all hybrid lamination/prepreg composite, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3031","description":"Foot, insert/plate, removable, addition to lower extremity orthotic, high strength, lightweight material, all hybrid lamination/prepreg composite, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":110.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0637","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":966.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5530","description":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1585.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2415","description":"Addition to knee lock with integrated release mechanism (bail, cable, or equal), any material, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":109.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5270","description":"Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4722.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, flex-foot system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5980","description":"All lower extremity prostheses, flex-foot system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4470.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3764","description":"EWHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":793.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD LOW EXT PROS BELW KNEE SLEEVE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5685","description":"ADD LOW EXT PROS BELW KNEE SLEEVE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":115.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6884","description":"Replacement socket, above elbow/elbow disarticulation, molded to patient model, for use with or without external power","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2136.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, multiaxial ankle, dynamic response foot, one piece system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5979","description":"All lower extremity prostheses, multiaxial ankle, dynamic response foot, one piece system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2095.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, torsion control, ankle joint and half solid stirrup","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2375","description":"Addition to lower extremity, torsion control, ankle joint and half solid stirrup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":97.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, microprocessor simultaneous control of elbow and terminal device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7181","description":"Electronic elbow, microprocessor simultaneous control of elbow and terminal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36116.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Additions to lower extremity, below knee, knee joints, polycentric, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5677","description":"Additions to lower extremity, below knee, knee joints, polycentric, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":452.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, leather socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5642","description":"Addition to lower extremity, above knee, leather socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":678.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2128","description":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1780.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1833","description":"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":377.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, test socket, Symes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5618","description":"Addition to lower extremity, test socket, Symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":272.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, offset knee joint, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2390","description":"Addition to lower extremity, offset knee joint, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":100.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, soft interface material, static AFO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4392","description":"Replacement, soft interface material, static AFO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5780","description":"Addition, exoskeletal knee-shin system, single axis, pneumatic/hydra pneumatic swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1051.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, wood socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5644","description":"Addition to lower extremity, above knee, wood socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":542.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Full sole and heel wedge, between sole","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3420","description":"Full sole and heel wedge, between sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthotic (EO), double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3740","description":"Elbow orthotic (EO), double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1111.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of an orthosis from one shoe to another, caliper plate, new","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3610","description":"Transfer of an orthosis from one shoe to another, caliper plate, new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":90.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Above knee, short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5210","description":"Above knee, short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2970.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD LE PRSTH ENDOSKL KD AK HD ROT U","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5926","description":"ADD LE PRSTH ENDOSKL KD AK HD ROT U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":523.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery, rechargeable, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7367","description":"Lithium ion battery, rechargeable, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":350.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot, insert, removable, molded to patient model, Spenco, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3001","description":"Foot, insert, removable, molded to patient model, Spenco, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":119.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SOCKET INSERT W LOCK MECH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5673","description":"SOCKET INSERT W LOCK MECH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":613.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2050","description":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":420.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic-lumbar-sacral orthotic (TLSO), full corset","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0974","description":"Thoracic-lumbar-sacral orthotic (TLSO), full corset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":154.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0641","description":"LUMB ORTHOS SAGITTAL CTRL RIGD POST PANLS PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":39.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5966","description":"Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1205.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PWR UE ROM AST DVC ELB WR HAND 1/DBL UP CUS FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8701","description":"PWR UE ROM AST DVC ELB WR HAND 1/DBL UP CUS FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26227.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hand, mechanical, voluntary opening, any material, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6708","description":"Terminal device, hand, mechanical, voluntary opening, any material, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":843.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1852","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":475.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis, user adjustable heel height","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5990","description":"Addition to lower extremity prosthesis, user adjustable heel height","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1635.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD EXO KN-SHIN SA FRICT SWG CNTRL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5712","description":"ADD EXO KN-SHIN SA FRICT SWG CNTRL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":452.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, thoracic pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1060","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, thoracic pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hand finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3912","description":"Hand finger orthosis (HFO), flexion glove with elastic finger control, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":79.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"REP INTERFACE HANDFNG MOLDED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6031","description":"REP INTERFACE HANDFNG MOLDED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1202.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0621","description":"SACROILIAC ORTHOSIS FLEXIBLE PREFABRICATED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":50.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, pelvic control belt, padded and lined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5694","description":"Addition to lower extremity, above knee, pelvic control belt, padded and lined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":166.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Wrist-hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3906","description":"Wrist-hand orthosis (WHO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":344.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, above knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5460","description":"Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":500.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2622","description":"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":264.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Legg Perthes orthotic, (Patten bottom type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1755","description":"Legg Perthes orthotic, (Patten bottom type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1404.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"External breast prosthesis garment, with mastectomy form, post mastectomy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8015","description":"External breast prosthesis garment, with mastectomy form, post mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2210","description":"Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":63.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5560","description":"Preparatory, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2085.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH ABOVE KNEE EACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8410","description":"PROSTHETIC SHEATH ABOVE KNEE EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1810","description":"KNEE ORTHOSIS ELASTIC JOINTS PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1902","description":"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":90.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3923","description":"HAND FINGER ORTHOSIS W/O JOINT PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO), anterior-posterior-lateral-control, molded to patient model, with interface material, (Minerva type)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0710","description":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO), anterior-posterior-lateral-control, molded to patient model, with interface material, (Minerva type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1808.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3710","description":"Elbow orthosis, elastic with metal joints, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":108.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Above knee, short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5220","description":"Above knee, short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2711.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, frame type socket, interscapular-thoracic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6690","description":"Upper extremity addition, frame type socket, interscapular-thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":709.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8625","description":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":170.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0160","description":"Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":144.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7403","description":"Addition to upper extremity prosthesis, below elbow/wrist disarticulation, acrylic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":331.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTH SFT INTRFC BLW KNEE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2820","description":"ADD LW EXT ORTH SFT INTRFC BLW KNEE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":85.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD UP EX PROSTHES LOCK MECH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6698","description":"ADD UP EX PROSTHES LOCK MECH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":456.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Partial facial prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8046","description":"Partial facial prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2714.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5230","description":"Above knee, for proximal femoral focal deficiency, constant friction knee, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3492.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SEWHFO ABDUCT PSTN THOR CMPNT W/O JOINTS CUS FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3976","description":"SEWHFO ABDUCT PSTN THOR CMPNT W/O JOINTS CUS FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1375.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/=MYOELEC CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6925","description":"WRST DISARTIC OTTO BOCK/=MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7074.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, hip joint, Clevis type, or thrust bearing, free, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2600","description":"Addition to lower extremity, pelvic control, hip joint, Clevis type, or thrust bearing, free, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":177.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"POSTOP DSG CAST CHG HANDFING","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6037","description":"POSTOP DSG CAST CHG HANDFING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1271.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device, transducer/actuator, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8694","description":"Auditory osseointegrated device, transducer/actuator, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":851.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4386","description":"WALKING BOOT NON-PNEUMATIC PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":142.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"WHFO PREFABRICATED INCL FITTING & ADJUSTMENT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3931","description":"WHFO PREFABRICATED INCL FITTING & ADJUSTMENT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":161.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0469","description":"TLSO SAGITTAL-CORONAL CONTROL RIGID FRAME PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":253.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Lift, elevation, heel and sole, neoprene, per in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3310","description":"Lift, elevation, heel and sole, neoprene, per in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5520","description":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1613.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"HO BIL HIP JOINTS & THIGH CUFFS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1681","description":"HO BIL HIP JOINTS & THIGH CUFFS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2096.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture orthotic, rigid, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2116","description":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture orthotic, rigid, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":733.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0454","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":312.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Peroneal straps, prefabricated, off-the-shelf, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0980","description":"Peroneal straps, prefabricated, off-the-shelf, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthotic (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1630","description":"Hip orthotic (HO), abduction control of hip joints, semi-flexible (Von Rosen type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":146.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0457","description":"TLSO FLX SC JUNC TERM INF TO SCAP SPINE PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":508.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5695","description":"Addition to lower extremity, above knee, pelvic control, sleeve suspension, neoprene or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":174.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder-elbow-wrist-hand orthotic (SEWHO), abduction positioning, airplane design, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3960","description":"Shoulder-elbow-wrist-hand orthotic (SEWHO), abduction positioning, airplane design, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":635.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3020","description":"Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":178.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3090","description":"Foot, arch support, nonremovable, attached to shoe, longitudinal/metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5961","description":"Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3974.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0642","description":"LUMB ORTHOS SAGITTAL CTRL RIGD ANT POST PANELS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":210.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4361","description":"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":247.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture cast orthotic, thermoplastic type casting material, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2106","description":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture cast orthotic, thermoplastic type casting material, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":751.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Voice amplifier","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8510","description":"Voice amplifier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":227.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, harness, chest or shoulder, saddle type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6672","description":"Upper extremity addition, harness, chest or shoulder, saddle type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":188.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electric hook, switch or myoelectric controlled, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7045","description":"Electric hook, switch or myoelectric controlled, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1484.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow, molded double wall split socket, step-up hinges, half cuff","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6120","description":"Below elbow, molded double wall split socket, step-up hinges, half cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2714.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), lumbar derotation pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1240","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), lumbar derotation pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, stainless steel, any wrist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6630","description":"Upper extremity addition, stainless steel, any wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":197.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, long tongue stirrup","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2265","description":"Addition to lower extremity, long tongue stirrup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":101.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthotic), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1980","description":"Ankle-foot orthotic (AFO), single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'BK' orthotic), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":355.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID A&P PANEL PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0627","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID A&P PANEL PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":369.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5856","description":"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21736.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8509","description":"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":98.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8000","description":"Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), lateral thoracic extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1210","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), lateral thoracic extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":300.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Halo procedure, cervical halo incorporated into jacket vest","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0810","description":"Halo procedure, cervical halo incorporated into jacket vest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2257.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1907","description":"Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":506.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PASSIVE CUSTOM DIGIT/THUMB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6039","description":"PASSIVE CUSTOM DIGIT/THUMB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1620.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, molded distal cushion","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5668","description":"Addition to lower extremity, below knee, molded distal cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":96.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), anterior thoracic derotation pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1260","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), anterior thoracic derotation pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD LW EXT CSTM INSRT CNGN/ATYP TRAUMAT AMP INIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5681","description":"ADD LW EXT CSTM INSRT CNGN/ATYP TRAUMAT AMP INIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1185.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0460","description":"TLSO TRIPLANAR 2 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":903.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee or knee disarticulation, pelvic band","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5697","description":"Addition to lower extremity, above knee or knee disarticulation, pelvic band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0638","description":"LUMB-SACRAL ORTHOS SAG-COR CNTRL RIGD A&P CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1186.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5643","description":"Addition to lower extremity, hip disarticulation, flexible inner socket, external frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1429.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS/PANELS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0651","description":"LSO SAGITTAL-CORONAL CONTROL RIGD SHELLS/PANELS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":607.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sheath, upper limb, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8415","description":"Prosthetic sheath, upper limb, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8002","description":"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":148.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, knee disarticulation, expandable wall socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5653","description":"Addition to lower extremity, knee disarticulation, expandable wall socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":534.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, flexion/extension wrist unit, with or without friction","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6620","description":"Upper extremity addition, flexion/extension wrist unit, with or without friction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":278.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2624","description":"Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":305.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, quadrilateral brim","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2188","description":"Addition to lower extremity fracture orthotic, quadrilateral brim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":344.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, foot, external keel, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5970","description":"All lower extremity prostheses, foot, external keel, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":186.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3930","description":"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy-duty","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5782","description":"Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy-duty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3802.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, foot, single axis ankle/foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5974","description":"All lower extremity prostheses, foot, single axis ankle/foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":213.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"INTERSCAP-THOR OTTO BOCK/=SWTCH CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6970","description":"INTERSCAP-THOR OTTO BOCK/=SWTCH CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13391.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8512","description":"Gelatin capsules or equivalent, for use with tracheoesophageal voice prosthesis, replacement only, per 10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthotic)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3224","description":"Orthopedic footwear, woman's shoe, oxford, used as an integral part of a brace (orthotic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":55.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Custom shaped protective cover, knee disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5706","description":"Custom shaped protective cover, knee disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":933.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, ring flange, plastic or leather","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1100","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, ring flange, plastic or leather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":140.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2275","description":"Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":108.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5648","description":"Addition to lower extremity, above knee, air, fluid, gel or equal, cushion socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":671.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthotic), without knee joint, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2010","description":"Knee-ankle-foot orthotic (KAFO), single upright, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthotic), without knee joint, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1062.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, socket, below knee, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5700","description":"Replacement, socket, below knee, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2561.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Microprocessor control feature, addition to upper limb prosthetic terminal device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6882","description":"Microprocessor control feature, addition to upper limb prosthetic terminal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2795.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, standard control cable, extra","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6655","description":"Upper extremity addition, standard control cable, extra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Lift, elevation, metal extension (skate)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3330","description":"Lift, elevation, metal extension (skate)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":509.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, above knee - knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5570","description":"Preparatory, above knee - knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2100.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5595","description":"Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4081.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, toe tap, horseshoe","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3560","description":"Orthopedic shoe addition, toe tap, horseshoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity fracture orthotic, radius/ulnar, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3982","description":"Upper extremity fracture orthotic, radius/ulnar, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":419.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ELB DISARTIC OTTO BOCK/=SWITCH CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6940","description":"ELB DISARTIC OTTO BOCK/=SWITCH CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8540.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, cuff suspension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5666","description":"Addition to lower extremity, below knee, cuff suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":72.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic-lumbar-sacral orthotic (TLSO), corset front","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0970","description":"Thoracic-lumbar-sacral orthotic (TLSO), corset front","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":101.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow, molded socket (Muenster or Northwestern suspension types)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6110","description":"Below elbow, molded socket (Muenster or Northwestern suspension types)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2499.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Initial, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5505","description":"Initial, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1597.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0200","description":"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars, and thoracic extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":450.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder orthotic (SO), shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3671","description":"Shoulder orthotic (SO), shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":737.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder-elbow-wrist-hand-finger orthotic (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3975","description":"Shoulder-elbow-wrist-hand-finger orthotic (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1375.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PWR UE ROM AST DVC ELBO WR H FINGER 1/DBL UP CUS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8702","description":"PWR UE ROM AST DVC ELBO WR H FINGER 1/DBL UP CUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":51601.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, Teflon, or equal, cable lining","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6665","description":"Upper extremity addition, Teflon, or equal, cable lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, 4-bar linkage or multiaxial, pneumatic swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5840","description":"Addition, endoskeletal knee-shin system, 4-bar linkage or multiaxial, pneumatic swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3256.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"WRIST HAND ORTHOSIS 1/>NONTORSION JNT PRFAB CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3915","description":"WRIST HAND ORTHOSIS 1/>NONTORSION JNT PRFAB CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":435.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD LW EXT CSTM INSRT NO CNGN/TRAUMAT AMP INIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5683","description":"ADD LW EXT CSTM INSRT NO CNGN/TRAUMAT AMP INIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1185.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle, Symes, molded socket, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5050","description":"Ankle, Symes, molded socket, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2246.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, lumbar sling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1090","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, lumbar sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":86.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0450","description":"TLSO FLEXIBLE TRUNK SUPP UP THOR REGION PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Elbow disarticulation, molded socket, outside locking hinge, forearm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6200","description":"Elbow disarticulation, molded socket, outside locking hinge, forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2504.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3924","description":"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, endoskeletal system, above knee, knee disarticulation, 4-bar linkage, with hydraulic swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5613","description":"Addition to lower extremity, endoskeletal system, above knee, knee disarticulation, 4-bar linkage, with hydraulic swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2250.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"IP FNGR JNT REPLCMT 2/MORE PECES METL CERAM-LIKE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8659","description":"IP FNGR JNT REPLCMT 2/MORE PECES METL CERAM-LIKE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1739.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, round caliper and plate attachment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2240","description":"Addition to lower extremity, round caliper and plate attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":72.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Tension ring, for vacuum erection device, any type, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7902","description":"Tension ring, for vacuum erection device, any type, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change AK or knee disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5420","description":"Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change AK or knee disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1395.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, latex suspension sleeve, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6632","description":"Upper extremity addition, latex suspension sleeve, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, sole, full","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3540","description":"Orthopedic shoe addition, sole, full","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, convert firm shoe counter to soft counter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3590","description":"Orthopedic shoe addition, convert firm shoe counter to soft counter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":48.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"HFO INCL 1/MORE NONTORSION JOINTS CUSTOM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3921","description":"HFO INCL 1/MORE NONTORSION JOINTS CUSTOM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":263.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, Patten bottom","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2370","description":"Addition to lower extremity, Patten bottom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":294.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Prehensile actuator, switch controlled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7040","description":"Prehensile actuator, switch controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2801.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1950","description":"Ankle-foot orthotic (AFO), spiral, (Institute of Rehabilitative Medicine type), plastic, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":855.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PROSTHETIC THUMB MECHANICAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6036","description":"PROSTHETIC THUMB MECHANICAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1126.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5617","description":"Addition to lower extremity, quick change self-aligning unit, above knee or below knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":514.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Interscapular thoracic, passive restoration (shoulder cap only)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6370","description":"Interscapular thoracic, passive restoration (shoulder cap only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2486.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Nipple prosthesis, reusable, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8032","description":"Nipple prosthesis, reusable, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":35.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5701","description":"Replacement, socket, above knee/knee disarticulation, including attachment plate, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3177.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6588","description":"PREP SHLDR DISRTC THOR 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2649.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Headset/headpiece for use with cochlear implant device, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8615","description":"Headset/headpiece for use with cochlear implant device, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":406.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6350","description":"Interscapular thoracic, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4795.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4397","description":"Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ocular implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8610","description":"Ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":636.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthotic (HO), abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (Rancho hip action type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1680","description":"Hip orthotic (HO), abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (Rancho hip action type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1050.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0636","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1300.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, lumbar or lumbar rib pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1040","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, lumbar or lumbar rib pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.24,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Wrist-hand-finger orthotic (WHFO), rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3808","description":"Wrist-hand-finger orthotic (WHFO), rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":332.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6550","description":"Shoulder disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3501.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Aqueous shunt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8612","description":"Aqueous shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":607.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity additions, flexible metal hinge, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6610","description":"Upper extremity additions, flexible metal hinge, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":152.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6205","description":"Elbow disarticulation, molded socket with expandable interface, outside locking hinges, forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3759.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5816","description":"Addition, endoskeletal knee-shin system, polycentric, mechanical stance phase lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":780.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2520","description":"Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, custom fitted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":489.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Heel, SACH cushion type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3450","description":"Heel, SACH cushion type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":94.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SCOLIOSIS ORTH SAG/COR","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1006","description":"SCOLIOSIS ORTH SAG/COR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":981.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SILICON GEL INSERT W/WO LOCK","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6692","description":"SILICON GEL INSERT W/WO LOCK","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":520.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, external powered, additional switch, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6611","description":"Addition to upper extremity prosthesis, external powered, additional switch, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":371.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4631","description":"AFO WALK BOOT TYP ROCKR BOTTM ANT TIB SHELL CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1620.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Halo procedure, cervical halo incorporated into plaster body jacket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0820","description":"Halo procedure, cervical halo incorporated into plaster body jacket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1861.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Above knee, molded socket, single axis constant friction knee, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5200","description":"Above knee, molded socket, single axis constant friction knee, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3034.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hand orthotic (HO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3919","description":"Hand orthotic (HO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":221.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5984","description":"All endoskeletal lower extremity prostheses, axial rotation unit, with or without adjustability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":523.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Lift, elevation, heel, per in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3334","description":"Lift, elevation, heel, per in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":34.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Metatarsal bar wedge, between sole","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3410","description":"Metatarsal bar wedge, between sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":83.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6382","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG ELB DISARTIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1812.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"AFO SPIRAL PREFAB CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1951","description":"AFO SPIRAL PREFAB CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":755.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, additional disconnect insert for locking wrist unit, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6616","description":"Upper extremity addition, additional disconnect insert for locking wrist unit, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0458","description":"TLSO TRIPLANAR 2 RIGD SHELL ANT TO XIPHOID PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":802.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, Symes type, expandable wall socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5630","description":"Addition to lower extremity, Symes type, expandable wall socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":416.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, adjustable motion knee joint, Lerman type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2186","description":"Addition to lower extremity fracture orthotic, adjustable motion knee joint, Lerman type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":142.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5600","description":"Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, laminated socket, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4515.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear implant, external speech processor and controller, integrated system, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8619","description":"Cochlear implant, external speech processor and controller, integrated system, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7553.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic shrinker, upper limb, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8465","description":"Prosthetic shrinker, upper limb, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1945","description":"Ankle-foot orthotic (AFO), plastic, rigid anterior tibial section (floor reaction), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":797.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6638","description":"Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2254.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity fracture orthotic, wrist, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3984","description":"Upper extremity fracture orthotic, wrist, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":310.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2034","description":"KAFO PLASTIC MED LAT ROTAT CNTRL CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1875.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, stance flexion feature, adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5845","description":"Addition, endoskeletal knee-shin system, stance flexion feature, adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1615.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Repair prosthetic device, labor component, per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7520","description":"Repair prosthetic device, labor component, per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KO ELAS W/CONDYLE PADS OTF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1821","description":"KO ELAS W/CONDYLE PADS OTF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":126.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, suction socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5647","description":"Addition to lower extremity, below knee, suction socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":764.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, hook to hand, cable adapter","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6670","description":"Upper extremity addition, hook to hand, cable adapter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3762","description":"Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3927","description":"FINGER ORTHOSIS PIP/DIP W/O JOINT PREFABRICATED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Implantable neurostimulator, pulse generator, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8679","description":"Implantable neurostimulator, pulse generator, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7521.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8618","description":"Transmitter cable for use with cochlear implant device or auditory osseointegrated device, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":23.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Truss, double with standard pads","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8310","description":"Truss, double with standard pads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":162.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, shoulder universal joint, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6650","description":"Upper extremity addition, shoulder universal joint, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":355.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2330","description":"Addition to lower extremity, lacer molded to patient model, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":451.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7401","description":"Addition to upper extremity prosthesis, above elbow disarticulation, ultralight material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":309.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0172","description":"Cervical, collar, semi-rigid thermoplastic foam, two-piece, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":126.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5925","description":"Addition, endoskeletal system, above knee, knee disarticulation or hip disarticulation, manual lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":308.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2510","description":"Addition to lower extremity, thigh/weight bearing, quadri-lateral brim, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":728.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5711","description":"Additions exoskeletal knee-shin system, single axis, manual lock, ultra-light material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":521.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear implant, external speech processor, component, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8627","description":"Cochlear implant, external speech processor, component, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6438.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, high activity knee control frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5930","description":"Addition, endoskeletal system, high activity knee control frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3094.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"WRST DISARTIC OTTO BOCK/=SWTCH CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6920","description":"WRST DISARTIC OTTO BOCK/=SWTCH CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6127.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Microphone for use with cochlear implant device, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8616","description":"Microphone for use with cochlear implant device, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":94.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic shrinker, below knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8440","description":"Prosthetic shrinker, below knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0468","description":"TLSO SAGITTAL-CORONAL CONTROL PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":395.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device, includes all internal and external components","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8690","description":"Auditory osseointegrated device, includes all internal and external components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4288.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0626","description":"LUMB ORTHOSIS SAGIT CNTRL RIGID POST PANL PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":70.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2627","description":"Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1797.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Truss, addition to standard pad, water pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8320","description":"Truss, addition to standard pad, water pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":49.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Elbow-wrist-hand-finger orthotic (EWHFO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3765","description":"Elbow-wrist-hand-finger orthotic (EWHFO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1049.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3908","description":"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, straight knee joint, heavy-duty, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2385","description":"Addition to lower extremity, straight knee joint, heavy-duty, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":115.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5814","description":"Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3347.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Other scoliosis procedure, postoperative body jacket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1310","description":"Other scoliosis procedure, postoperative body jacket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1911.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD CTLSO/SCO ORTHOS KYPHO PAD FLTG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1025","description":"ADD CTLSO/SCO ORTHOS KYPHO PAD FLTG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":143.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1910","description":"Ankle-foot orthotic (AFO), posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":286.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5726","description":"Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1597.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8684","description":"Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":625.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1830","description":"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4350","description":"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":77.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0639","description":"LUMB-SAC ORTHOS SAG-COR CNTRL RIGID SHELL PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":966.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, torsion control, straight knee joint, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2380","description":"Addition to lower extremity, torsion control, straight knee joint, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":106.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Legg Perthes orthotic, (Toronto type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1700","description":"Legg Perthes orthotic, (Toronto type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1316.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pretibial shell, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2340","description":"Addition to lower extremity, pretibial shell, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":418.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2037","description":"Knee-ankle-foot orthotic (KAFO), full plastic, single upright, with or without free motion knee, with or without free motion ankle, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1886.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, silicone or equal, without integral adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8030","description":"Breast prosthesis, silicone or equal, without integral adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":296.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace girdle for spinal orthotic (cervical-thoracic-lumbar-sacral orthotic (CTLSO) or spinal orthotic SO)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4000","description":"Replace girdle for spinal orthotic (cervical-thoracic-lumbar-sacral orthotic (CTLSO) or spinal orthotic SO)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1098.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, knee control, full kneecap","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2795","description":"Addition to lower extremity orthotic, knee control, full kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, mastectomy form","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8020","description":"Breast prosthesis, mastectomy form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":220.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1844","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1409.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Outflare wedge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3390","description":"Outflare wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6384","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG SHLDR DISRTC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2334.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, locking elbow, forearm counterbalance","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6693","description":"Upper extremity addition, locking elbow, forearm counterbalance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2559.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Tracheo-esophageal voice prosthesis, patient inserted, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8507","description":"Tracheo-esophageal voice prosthesis, patient inserted, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":37.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Above knee, molded socket, open end, SACH foot, endoskeletal system, single axis knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5321","description":"Above knee, molded socket, open end, SACH foot, endoskeletal system, single axis knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3017.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Legg Perthes orthotic, trilateral, (Tachdijan type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1720","description":"Legg Perthes orthotic, trilateral, (Tachdijan type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1135.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthotic, locking knee joint(s), positional orthotic, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1831","description":"Knee orthotic, locking knee joint(s), positional orthotic, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":264.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6586","description":"PREP ELB DISRTC/ABVE ELB 1 WALL SOCKT DIR FORMED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1729.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, shoulder lock mechanism, body powered actuator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6647","description":"Upper extremity addition, shoulder lock mechanism, body powered actuator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":468.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, waist belt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2190","description":"Addition to lower extremity fracture orthotic, waist belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":81.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Below knee, plastic socket, joints and thigh lacer, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5105","description":"Below knee, plastic socket, joints and thigh lacer, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3887.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4387","description":"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":142.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, socket insert, multidurometer Symes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5661","description":"Addition to lower extremity, socket insert, multidurometer Symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":560.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5795","description":"Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":985.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to terminal device, precision pinch device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6810","description":"Addition to terminal device, precision pinch device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":171.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery charger, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7368","description":"Lithium ion battery charger, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":454.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5654","description":"Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":322.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"EWHFO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3766","description":"EWHFO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1111.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ABVE ELB OTTO BOCK/=MYOELEC CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6955","description":"ABVE ELB OTTO BOCK/=MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10966.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6621","description":"Upper extremity prosthesis addition, flexion/extension wrist with or without friction, for use with external powered terminal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2061.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR POST FRME&ANT APRON W/STRAP PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0470","description":"TLSO TRIPLANAR POST FRME&ANT APRON W/STRAP PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":640.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electric hook, switch or myoelectric controlled, adult","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7009","description":"Electric hook, switch or myoelectric controlled, adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3415.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ALL LW EXT PROS SACH FOOT REPL ONLY","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5971","description":"ALL LW EXT PROS SACH FOOT REPL ONLY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":186.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KAF DVC ANY MATERIAL ADJ CUSTOM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2006","description":"KAF DVC ANY MATERIAL ADJ CUSTOM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":30014.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity fracture orthotic, hip joint, pelvic band, thigh flange, and pelvic belt","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2192","description":"Addition to lower extremity fracture orthotic, hip joint, pelvic band, thigh flange, and pelvic belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":392.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SHLDR DISARTIC OTTO BOCK/=MYOELEC CNTRL TERM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6965","description":"SHLDR DISARTIC OTTO BOCK/=MYOELEC CNTRL TERM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13013.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Repair of orthotic device, labor component, per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4205","description":"Repair of orthotic device, labor component, per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, ischial containment/narrow M-L socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5649","description":"Addition to lower extremity, ischial containment/narrow M-L socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1748.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PROSTHETIC DIGIT MECHANICAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6035","description":"PROSTHETIC DIGIT MECHANICAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1126.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2430","description":"Addition to knee joint, ratchet lock for active and progressive knee extension, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":128.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0480","description":"TLSO TRIPLANAR 1 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1481.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electric hand, switch or myoelectric, controlled, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7008","description":"Electric hand, switch or myoelectric, controlled, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5642.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, convert instep to Velcro closure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3580","description":"Orthopedic shoe addition, convert instep to Velcro closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, noncorrosive finish, per bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2780","description":"Addition to lower extremity orthotic, noncorrosive finish, per bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":70.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee/above knee suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5671","description":"Addition to lower extremity, below knee/above knee suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":456.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thoracic control, paraspinal uprights","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2670","description":"Addition to lower extremity, thoracic control, paraspinal uprights","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":181.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (SOMI, Guilford, Taylor types)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0190","description":"Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (SOMI, Guilford, Taylor types)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":468.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6130","description":"Below elbow, molded double wall split socket, stump activated locking hinge, half cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2938.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic, rib belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0220","description":"Thoracic, rib belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":133.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, rocker bottom for total contact ankle-foot orthotic (AFO), for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2232","description":"Addition to lower extremity orthotic, rocker bottom for total contact ankle-foot orthotic (AFO), for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0466","description":"TLSO SAGITTAL CONTRL RIGD FRME PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":321.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8417","description":"Prosthetic sheath/sock, including a gel cushion layer, below knee or above knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"HAND FINGER ORTHOSIS 1/> NONTORSN JNT PRFAB CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3929","description":"HAND FINGER ORTHOSIS 1/> NONTORSN JNT PRFAB CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":65.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee, flexible inner socket, external frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5651","description":"Addition to lower extremity, above knee, flexible inner socket, external frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1102.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5859","description":"Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":13078.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6684","description":"Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":408.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace trilateral socket brim","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4010","description":"Replace trilateral socket brim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":682.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock, single ply, fitting, below knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8470","description":"Prosthetic sock, single ply, fitting, below knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity additions, shoulder abduction joint, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6640","description":"Upper extremity additions, shoulder abduction joint, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":342.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD LE PROSTHES OI EXTRNL PROS CONN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5991","description":"ADD LE PROSTHES OI EXTRNL PROS CONN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8816.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, varus/valgus correction (T) strap, padded/lined or malleolus pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2270","description":"Addition to lower extremity, varus/valgus correction (T) strap, padded/lined or malleolus pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, insole, felt covered with leather","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3520","description":"Orthopedic shoe addition, insole, felt covered with leather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5716","description":"Addition, exoskeletal knee-shin system, polycentric, mechanical stance phase lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":669.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"CTLSO A P L CONTROL CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0720","description":"CTLSO A P L CONTROL CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1686.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cranial cervical orthotic, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0113","description":"Cranial cervical orthotic, torticollis type, with or without joint, with or without soft interface material, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":256.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5850","description":"Addition, endoskeletal system, above knee or hip disarticulation, knee extension assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":123.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6706","description":"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":320.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, lift assist for elbow","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6635","description":"Upper extremity addition, lift assist for elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":185.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to halo procedure, replacement liner/interface material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0861","description":"Addition to halo procedure, replacement liner/interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":193.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Tension based scoliosis orthotic and accessory pads, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1005","description":"Tension based scoliosis orthotic and accessory pads, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2879.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0630","description":"LUMB-SACRAL ORTHOS SAGIT CNTRL RIGID POST PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":145.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8515","description":"Gelatin capsule, application device for use with tracheoesophageal voice prosthesis, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder disarticulation, passive restoration (complete prosthesis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6310","description":"Shoulder disarticulation, passive restoration (complete prosthesis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2964.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0648","description":"LSO SAGITTAL CONTROL RIGD ANT POST PANELS PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":524.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8624","description":"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor, ear level, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":145.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle, Symes, metal frame, molded leather socket, articulated ankle/foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5060","description":"Ankle, Symes, metal frame, molded leather socket, articulated ankle/foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3381.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3670","description":"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":113.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthotic (EO), double upright with forearm/arm cuffs, free motion, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3720","description":"Elbow orthotic (EO), double upright with forearm/arm cuffs, free motion, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":735.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2540","description":"Addition to lower extremity, thigh/weight bearing, lacer, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":372.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Transmitting coil for use with cochlear implant device, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8617","description":"Transmitting coil for use with cochlear implant device, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5828","description":"Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3168.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Partial foot, shoe insert with longitudinal arch, toe filler","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5000","description":"Partial foot, shoe insert with longitudinal arch, toe filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":463.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1836","description":"Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, band and belt, unilateral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2630","description":"Addition to lower extremity, pelvic control, band and belt, unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":259.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5968","description":"Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3275.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3977","description":"SEWHFO SHOULD CAP DESIGN CUSTOM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1541.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7402","description":"Addition to upper extremity prosthesis, shoulder disarticulation/interscapular thoracic, ultralight material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":334.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, nudge control elbow lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6637","description":"Upper extremity addition, nudge control elbow lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":337.16,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ossicula implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8613","description":"Ossicula implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":307.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PART HANDFING ACRYLIC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6033","description":"PART HANDFING ACRYLIC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":331.94,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG APPL RIGD DRESS W/EA ADD CAST CHG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5410","description":"IMMED POSTSURG APPL RIGD DRESS W/EA ADD CAST CHG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":383.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5400","description":"Immediate postsurgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1105.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, reinforced solid stirrup (Scott-Craig type)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2260","description":"Addition to lower extremity, reinforced solid stirrup (Scott-Craig type)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":230.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace leather cuff KAFO-AFO, calf or distal thigh","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4110","description":"Replace leather cuff KAFO-AFO, calf or distal thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":96.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), posterior solid ankle, plastic, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1960","description":"Ankle-foot orthotic (AFO), posterior solid ankle, plastic, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":636.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5985","description":"All endoskeletal lower extremity prostheses, dynamic prosthetic pylon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":259.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Truss, single with standard pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8300","description":"Truss, single with standard pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":77.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthotic (HO), abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1660","description":"Hip orthotic (HO), abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":147.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5430","description":"IMMED POSTSURG INIT RIGD DRSG AK EA ADD CAST CHG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":616.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"AFO SPIRAL PREFAB OTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1952","description":"AFO SPIRAL PREFAB OTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":755.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0492","description":"TLSO THREE RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":453.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Male vacuum erection system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7900","description":"Male vacuum erection system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":363.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, Symes type, PTB brim design socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5632","description":"Addition to lower extremity, Symes type, PTB brim design socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":222.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear device, includes all internal and external components","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8614","description":"Cochlear device, includes all internal and external components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":17595.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, polycentric, friction swing and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5818","description":"Addition, endoskeletal knee-shin system, polycentric, friction swing and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":944.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Custom shaped protective cover, above knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5705","description":"Custom shaped protective cover, above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":957.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0640","description":"LSO SAGITTAL-CORONAL RIGID SHELL/PANEL CUSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":941.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, excursion amplifier, pulley type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6641","description":"Upper extremity addition, excursion amplifier, pulley type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":196.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthotic (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1650","description":"Hip orthotic (HO), abduction control of hip joints, static, adjustable, (Ilfled type), prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":199.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5785","description":"Addition, exoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":477.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Combination, bilateral, lumbo-sacral, hip, femur orthotic providing adduction and internal rotation control, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1690","description":"Combination, bilateral, lumbo-sacral, hip, femur orthotic providing adduction and internal rotation control, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1739.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock, single ply, fitting, above knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8480","description":"Prosthetic sock, single ply, fitting, above knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":8.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"EXTERNAL RECHARG SYS EXTERNAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8695","description":"EXTERNAL RECHARG SYS EXTERNAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5540","description":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1661.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Heel, pad and depression for spur","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3480","description":"Heel, pad and depression for spur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5824","description":"Addition, endoskeletal knee-shin system, single axis, fluid swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1743.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, plating chrome or nickel, per bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2750","description":"Addition to lower extremity orthotic, plating chrome or nickel, per bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":84.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ANK MCROP PLANT & DORSI FLEX","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2221","description":"ANK MCROP PLANT & DORSI FLEX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1415.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0491","description":"TLSO TWO RIGID PLASTIC SHELLS PREFABRICATED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":690.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace metal bands KAFO, proximal thigh","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4080","description":"Replace metal bands KAFO, proximal thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":89.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PART HANDFNG ULTRALITE TCF/=","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6032","description":"PART HANDFNG ULTRALITE TCF/=","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":276.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, hip joint, heavy-duty, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2620","description":"Addition to lower extremity, pelvic control, hip joint, heavy-duty, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":307.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1846","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1161.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5652","description":"Addition to lower extremity, suction suspension, above knee or knee disarticulation socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":400.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Custom shaped protective cover, below knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5704","description":"Custom shaped protective cover, below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":522.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"WHFO CUSTOM FABRICATED INCL FITTING & ADJUSTMENT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3806","description":"WHFO CUSTOM FABRICATED INCL FITTING & ADJUSTMENT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":371.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, flexible, thermoplastic collar, molded to patient","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0130","description":"Cervical, flexible, thermoplastic collar, molded to patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":187.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6055","description":"Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2651.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"AFO W/ANKLE JOINT PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1971","description":"AFO W/ANKLE JOINT PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":421.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Metatarsal joint implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8641","description":"Metatarsal joint implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":321.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Heel, Thomas extended to ball","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3470","description":"Heel, Thomas extended to ball","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, waist belt, padded and lined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5690","description":"Addition to lower extremity, below knee, waist belt, padded and lined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, thermoplastic type casting material, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2126","description":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, thermoplastic type casting material, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1376.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Lift, elevation, heel, tapered to metatarsals, per in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3300","description":"Lift, elevation, heel, tapered to metatarsals, per in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":46.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6712","description":"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1115.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Partial foot, molded socket, ankle height, with toe filler","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5010","description":"Partial foot, molded socket, ankle height, with toe filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1419.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthotic (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1640","description":"Hip orthotic (HO), abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":464.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, flexible, nonadjustable, prefabricated, off-the-shelf (foam collar)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0120","description":"Cervical, flexible, nonadjustable, prefabricated, off-the-shelf (foam collar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Heel, Thomas with wedge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3465","description":"Heel, Thomas with wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":52.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1904","description":"Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":419.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, child, Variety Village or equal, switch controlled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7186","description":"Electronic elbow, child, Variety Village or equal, switch controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10030.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0859","description":"Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1049.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5510","description":"Preparatory, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1336.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'BK' orthotic), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1990","description":"Ankle-foot orthotic (AFO), double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'BK' orthotic), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":458.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8606","description":"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":197.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5950","description":"Addition, endoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":811.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SHOULDER ORTHOTIC ABDUCT PSTN THOR COMP CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3674","description":"SHOULDER ORTHOTIC ABDUCT PSTN THOR COMP CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":967.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cranial cervical orthotic, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0112","description":"Cranial cervical orthotic, congenital torticollis type, with or without soft interface material, adjustable range of motion joint, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1259.15,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2425","description":"Addition to knee joint, disc or dial lock for adjustable knee flexion, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":128.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0488","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":903.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5722","description":"Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":829.01,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Gasket or seal, for use with prosthetic socket insert, any type, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7700","description":"Gasket or seal, for use with prosthetic socket insert, any type, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":125.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD UPP EXT MEC LIMB VOL LAM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7406","description":"ADD UPP EXT MEC LIMB VOL LAM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2362.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, hip joint, Clevis or thrust bearing, lock, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2610","description":"Addition to lower extremity, pelvic control, hip joint, Clevis or thrust bearing, lock, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":244.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot, abduction rotation bar, without shoes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3150","description":"Foot, abduction rotation bar, without shoes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":73.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, sole, half","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3530","description":"Orthopedic shoe addition, sole, half","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TEST INTERFACE PART HANDFING","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6029","description":"TEST INTERFACE PART HANDFING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":268.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KO ELAS W/ CONDYLE PADS & JO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1820","description":"KO ELAS W/ CONDYLE PADS & JO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":126.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Legg Perthes orthotic, (Scottish Rite type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1730","description":"Legg Perthes orthotic, (Scottish Rite type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1001.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, shoulder flexion-abduction joint, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6645","description":"Upper extremity addition, shoulder flexion-abduction joint, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":296.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, frame type socket, above elbow or elbow disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6688","description":"Upper extremity addition, frame type socket, above elbow or elbow disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":500.49,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, removable insert, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6691","description":"Upper extremity addition, removable insert, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":338.42,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5646","description":"Addition to lower extremity, below knee, air, fluid, gel or equal, cushion socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":532.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to knee joint, drop lock, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2405","description":"Addition to knee joint, drop lock, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":78.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee or knee disarticulation, Silesian bandage","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5698","description":"Addition to lower extremity, above knee or knee disarticulation, Silesian bandage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":120.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5830","description":"Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1869.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB CSTM CNGN/TRAUMAT AMP INIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6696","description":"ADD UP EXT PROS ELB CSTM CNGN/TRAUMAT AMP INIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1185.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2525","description":"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1209.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, insole, leather","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3500","description":"Orthopedic shoe addition, insole, leather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8683","description":"Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4730.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, quick disconnect hook adapter, Otto Bock or equal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6628","description":"Upper extremity addition, quick disconnect hook adapter, Otto Bock or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":439.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, below knee PTB type socket, nonalignable system, no cover, SACH foot, prefabricated, adjustable open end socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5535","description":"Preparatory, below knee PTB type socket, nonalignable system, no cover, SACH foot, prefabricated, adjustable open end socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1741.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2628","description":"Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1855.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Tracheoesophageal puncture dilator, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8514","description":"Tracheoesophageal puncture dilator, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":84.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, extension, per extension, per bar (for lineal adjustment for growth)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2760","description":"Addition to lower extremity orthotic, extension, per extension, per bar (for lineal adjustment for growth)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":64.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee or knee disarticulation, acrylic socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5631","description":"Addition to lower extremity, above knee or knee disarticulation, acrylic socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":537.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6584","description":"PREP ELB DISRTC/ABVE ELB 1 WALL PLSTC SOCKT MOLD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1929.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim, custom fitted","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2526","description":"Addition to lower extremity, thigh/weight bearing, ischial containment/narrow M-L brim, custom fitted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":590.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Alkaline battery for use with cochlear implant device, any size, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8622","description":"Alkaline battery for use with cochlear implant device, any size, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thigh/weight bearing, lacer, nonmolded","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2530","description":"Addition to lower extremity, thigh/weight bearing, lacer, nonmolded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":263.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook or hand, heavy-duty, mechanical, voluntary closing, any material, any size, lined or unlined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6722","description":"Terminal device, hook or hand, heavy-duty, mechanical, voluntary closing, any material, any size, lined or unlined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1827.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, spring assisted rotational wrist unit with latch release","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6623","description":"Upper extremity addition, spring assisted rotational wrist unit with latch release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":588.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3170","description":"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3675","description":"Shoulder orthosis, vest type abduction restrainer, canvas webbing type or equal, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":143.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5450","description":"Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":416.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD ENDOSKL K-SHN 4 BAR LINK/MXAXL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5615","description":"ADD ENDOSKL K-SHN 4 BAR LINK/MXAXL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5650.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5150","description":"Knee disarticulation (or through knee), molded socket, external knee joints, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3581.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6500","description":"Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2935.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCTION POSITIONING W/O JOINTS CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3967","description":"SEWHO ABDUCTION POSITIONING W/O JOINTS CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1624.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All exoskeletal lower extremity prostheses, axial rotation unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5982","description":"All exoskeletal lower extremity prostheses, axial rotation unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":530.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, outrigger, bilateral with vertical extensions","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1085","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, outrigger, bilateral with vertical extensions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":132.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3650","description":"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Protective body sock, prefabricated, off-the-shelf, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0984","description":"Protective body sock, prefabricated, off-the-shelf, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":56.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Metacarpophalangeal joint implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8630","description":"Metacarpophalangeal joint implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":309.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5857","description":"Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7776.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Halo procedure, cervical halo incorporated into Milwaukee type orthotic","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0830","description":"Halo procedure, cervical halo incorporated into Milwaukee type orthotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2702.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, special extension to instep (leather with eyelets)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3570","description":"Orthopedic shoe addition, special extension to instep (leather with eyelets)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":76.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Wrist-hand-finger orthotic (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3901","description":"Wrist-hand-finger orthotic (WHFO), dynamic flexor hinge, reciprocal wrist extension/ flexion, finger flexion/extension, cable driven, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1499.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"MPJ REPLCMT TWO/MORE PECES METL CER","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8631","description":"MPJ REPLCMT TWO/MORE PECES METL CER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1992.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic-lumbar-sacral orthotic (TLSO), inclusive of furnishing initial orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1200","description":"Thoracic-lumbar-sacral orthotic (TLSO), inclusive of furnishing initial orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1350.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis, elastic with joints, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1812","description":"Knee orthosis, elastic with joints, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5822","description":"Addition, endoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1938.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Partial foot, molded socket, tibial tubercle height, with toe filler","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5020","description":"Partial foot, molded socket, tibial tubercle height, with toe filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1819.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3761","description":"Elbow orthosis (EO), with adjustable position locking joint(s), prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":409.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), plastic or other material, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1930","description":"Ankle-foot orthotic (AFO), plastic or other material, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":203.88,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device abutment, any length, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8693","description":"Auditory osseointegrated device abutment, any length, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1366.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hemipelvectomy, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5280","description":"Hemipelvectomy, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4675.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, hip joint, Clevis type 2 position joint, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2570","description":"Addition to lower extremity, pelvic control, hip joint, Clevis type 2 position joint, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":410.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5590","description":"Preparatory, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2449.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Additions to lower extremity, below knee, joint covers, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5678","description":"Additions to lower extremity, below knee, joint covers, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock, multiple ply, upper limb, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8435","description":"Prosthetic sock, multiple ply, upper limb, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":20.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear implant, external controller component, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8628","description":"Cochlear implant, external controller component, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1115.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6905","description":"Hand restoration (casts, shading and measurements included), partial hand, with glove, multiple fingers remaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1610.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5728","description":"Addition, exoskeletal knee-shin system, single axis, fluid swing and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2430.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, March bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3595","description":"Orthopedic shoe addition, March bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":37.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SEWHO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3973","description":"SEWHO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1624.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Twelve volt battery, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7364","description":"Twelve volt battery, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":487.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Custom breast prosthesis, post mastectomy, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8035","description":"Custom breast prosthesis, post mastectomy, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3302.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'AK' orthotic), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2020","description":"Knee-ankle-foot orthotic (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs (double bar 'AK' orthotic), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1093.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Below knee, molded socket, shin, SACH foot, endoskeletal system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5301","description":"Below knee, molded socket, shin, SACH foot, endoskeletal system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2108.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, pelvic sling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2580","description":"Addition to lower extremity, pelvic control, pelvic sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":458.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6300","description":"Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4152.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6714","description":"Terminal device, hand, mechanical, voluntary closing, any material, any size, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1192.76,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture cast orthotic, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2108","description":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture cast orthotic, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1117.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), rib gusset (elastic), each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1280","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), rib gusset (elastic), each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":79.87,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8621","description":"Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":0.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1832","description":"KNEE ORTHOSIS IMMOBLIZER ADJUSTABLE JOINT PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":698.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert, removable, molded to patient model, Plastazote or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3002","description":"Foot insert, removable, molded to patient model, Plastazote or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":145.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Wrist-hand-finger orthotic (WHFO), external powered, electric, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3904","description":"Wrist-hand-finger orthotic (WHFO), external powered, electric, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2469.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS ELB CSTM NOT CNGN/TRAUM AMP INIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6697","description":"ADD UP EXT PROS ELB CSTM NOT CNGN/TRAUM AMP INIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1185.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1851","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":498.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, waist belt, webbing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5688","description":"Addition to lower extremity, below knee, waist belt, webbing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":74.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace proximal and distal upright for KAFO","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4070","description":"Replace proximal and distal upright for KAFO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":242.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, suspension sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2397","description":"Addition to lower extremity orthotic, suspension sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":101.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/LOCK MECH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6694","description":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/LOCK MECH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":613.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, test socket, hip disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5626","description":"Addition to lower extremity, test socket, hip disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":437.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1845","description":"KNEE ORTHOSIS DOUBLE UPRIGHT THIGH & CALF PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":885.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6883","description":"Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1942.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8681","description":"Patient programmer (external) for use with implantable programmable neurostimulator pulse generator, replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1320.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"EXTERNAL FRAME PART HANDFING","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6030","description":"EXTERNAL FRAME PART HANDFING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":539.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"EXTERNAL RECHARG SYS INTERNAL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8689","description":"EXTERNAL RECHARG SYS INTERNAL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1554.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1906","description":"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":104.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder elbow wrist hand orthotic (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3961","description":"Shoulder elbow wrist hand orthotic (SEWHO), shoulder cap design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1375.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8629","description":"Transmitting coil and cable, integrated, for use with cochlear implant device, replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":161.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, molded inner boot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2280","description":"Addition to lower extremity, molded inner boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":449.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, semi-rigid, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2134","description":"Knee-ankle-foot orthotic (KAFO), fracture orthotic, femoral fracture cast orthotic, semi-rigid, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1111.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5973","description":"Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":15687.46,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot, arch support, removable, premolded, longitudinal/metatarsal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3060","description":"Foot, arch support, removable, premolded, longitudinal/metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":66.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6890","description":"Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":208.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, excursion amplifier, lever type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6642","description":"Upper extremity addition, excursion amplifier, lever type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":266.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, offset knee joint, heavy-duty, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2395","description":"Addition to lower extremity, offset knee joint, heavy-duty, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":134.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, flexible inner socket, external frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5645","description":"Addition to lower extremity, below knee, flexible inner socket, external frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":732.61,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2080","description":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, unilateral torsion cable, hip joint, pelvic band/belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":328.92,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower limb prosthesis, vertical shock reducing pylon feature","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5988","description":"Addition to lower limb prosthesis, vertical shock reducing pylon feature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1800.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, Hosmer or equal, switch controlled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7170","description":"Electronic elbow, Hosmer or equal, switch controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5383.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3640","description":"Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0462","description":"TLSO TRIPLANAR 3 SHELL ANT TO STERNL NOTCH PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1123.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5616","description":"Addition to lower extremity, endoskeletal system, above knee, universal multiplex system, friction swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1247.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hand, mechanical, voluntary closing, any material, any size","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6709","description":"Terminal device, hand, mechanical, voluntary closing, any material, any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1129.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6707","description":"Terminal device, hook, mechanical, voluntary closing, any material, any size, lined or unlined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1258.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SOCKET INSERT W/O LOCK MECH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5679","description":"SOCKET INSERT W/O LOCK MECH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":511.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace pretibial shell","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4130","description":"Replace pretibial shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":427.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis, swedish type, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1850","description":"Knee orthosis, swedish type, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":170.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, molded supracondylar suspension (PTS or similar)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5670","description":"Addition to lower extremity, below knee, molded supracondylar suspension (PTS or similar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":257.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5341","description":"Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4675.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6582","description":"PREP WRST DISRTC/BELW ELB 1 WALL SCKT DIR FORMED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1271.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD LOW EXTREM BELW KNEE FORK STRAP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5684","description":"ADD LOW EXTREM BELW KNEE FORK STRAP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic shrinker, above knee, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8460","description":"Prosthetic shrinker, above knee, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":61.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0635","description":"LSO SAGITTAL-CORONL CNTRL FLEX RIGID POST PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":876.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger, twelve volt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7366","description":"Battery charger, twelve volt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":657.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, disconnect locking wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6615","description":"Upper extremity addition, disconnect locking wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":168.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Artificial larynx, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8500","description":"Artificial larynx, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":697.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Implantable breast prosthesis, silicone or equal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8600","description":"Implantable breast prosthesis, silicone or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":573.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, microprocessor sequential control of elbow and terminal device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7180","description":"Electronic elbow, microprocessor sequential control of elbow and terminal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":33006.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PROSTHETIC SHEATH BELOW KNEE EACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8400","description":"PROSTHETIC SHEATH BELOW KNEE EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":19.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orbital prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8042","description":"Orbital prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3393.29,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR HYPREXT RIGD ANT&LAT FRME PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0472","description":"TLSO TRIPLANAR HYPREXT RIGD ANT&LAT FRME PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":417.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, frame type socket, shoulder disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6689","description":"Upper extremity addition, frame type socket, shoulder disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":824.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD LOW EXT MEC LIMB VOL LAM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5783","description":"ADD LOW EXT MEC LIMB VOL LAM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2362.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, knee control, condylar pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2810","description":"Addition to lower extremity orthotic, knee control, condylar pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6900","description":"Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1629.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1920","description":"Ankle-foot orthotic (AFO), single upright with static or adjustable stop (Phelps or Perlstein type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":322.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot, abduction rotation bar, including shoes","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3140","description":"Foot, abduction rotation bar, including shoes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1620","description":"HIP ORTHOSIS ABDUCTION FLEX PAVLIK HARN PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":127.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, multiaxial rotation unit (MCP or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5986","description":"All lower extremity prostheses, multiaxial rotation unit (MCP or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":581.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Legg Perthes orthotic, (Newington type), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1710","description":"Legg Perthes orthotic, (Newington type), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1540.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2040","description":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, bilateral rotation straps, pelvic band/belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":153.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Heel, new leather, standard","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3455","description":"Heel, new leather, standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.62,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0482","description":"TLSO TRIPLANAR 1 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1651.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KAFO ANY MATL AUTO LOCK&SWNG RLSE W/ANK JNT CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2005","description":"KAFO ANY MATL AUTO LOCK&SWNG RLSE W/ANK JNT CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3686.41,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1843","description":"KNEE ORTHOSIS SINGLE UPRIGHT THIGH & CALF PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":807.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper facial prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8043","description":"Upper facial prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3800.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"BELW ELB OTTO BOCK/=MYOELEC CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6935","description":"BELW ELB OTTO BOCK/=MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":7206.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8696","description":"Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":195.37,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, flexion/extension and rotation wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6624","description":"Upper extremity addition, flexion/extension and rotation wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3394.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, back check (extension control)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5686","description":"Addition to lower extremity, below knee, back check (extension control)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8513","description":"Cleaning device used with tracheoesophageal voice prosthesis, pipet, brush, or equal, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, adolescent, Variety Village or equal, switch controlled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7185","description":"Electronic elbow, adolescent, Variety Village or equal, switch controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":6584.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, abduction bar, straight","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2310","description":"Addition to lower extremity, abduction bar, straight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":106.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, child, Variety Village or equal, myoelectronically controlled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7191","description":"Electronic elbow, child, Variety Village or equal, myoelectronically controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":10370.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Preparatory, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5580","description":"Preparatory, above knee, knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, molded to model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2380.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, flex-walk system or equal","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5981","description":"All lower extremity prostheses, flex-walk system or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2849.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2755","description":"Addition to lower extremity orthotic, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":117.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8623","description":"Lithium ion battery for use with cochlear implant device speech processor, other than ear level, replacement, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":58.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, test socket, hemipelvectomy","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5628","description":"Addition to lower extremity, test socket, hemipelvectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":457.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3981","description":"UPPER EXTREMITY FX ORTHOSIS HUMERAL PREF STRAPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":824.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1848","description":"Knee orthosis, double upright with adjustable joint, with inflatable air support chamber(s), prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":517.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, anterior swing band","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2335","description":"Addition to lower extremity, anterior swing band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":195.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5312","description":"Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3081.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3809","description":"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":204.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, frame type socket, below elbow or wrist disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6687","description":"Upper extremity addition, frame type socket, below elbow or wrist disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":539.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LOW PROSTH FOOT SHELL REPL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5992","description":"LOW PROSTH FOOT SHELL REPL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":95.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SEWHO SHOULDER CAP DESIGN CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3971","description":"SEWHO SHOULDER CAP DESIGN CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1541.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Lift, elevation, inside shoe, tapered, up to one-half in","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3332","description":"Lift, elevation, inside shoe, tapered, up to one-half in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":66.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6910","description":"Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1674.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, test socket, wrist disarticulation or below elbow","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6680","description":"Upper extremity addition, test socket, wrist disarticulation or below elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":268.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, test socket, knee disarticulation","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5622","description":"Addition to lower extremity, test socket, knee disarticulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":443.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3925","description":"FINGER ORTHOSIS PIP/DIP NONTORSION JOINT PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture orthotic, semi-rigid, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2114","description":"Ankle-foot orthotic (AFO), fracture orthotic, tibial fracture orthotic, semi-rigid, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":666.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Interphalangeal joint spacer, silicone or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8658","description":"Interphalangeal joint spacer, silicone or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":280.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of an orthosis from one shoe to another, caliper plate, existing","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3600","description":"Transfer of an orthosis from one shoe to another, caliper plate, existing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, suction socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6686","description":"Upper extremity addition, suction socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":550.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, endoskeletal system, above knee, hydracadence system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5610","description":"Addition to lower extremity, endoskeletal system, above knee, hydracadence system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1901.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0643","description":"LSO SAGITTAL CONTROL RIGID POST PANELS PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":82.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthotic (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1840","description":"Knee orthotic (KO), derotation, medial-lateral, anterior cruciate ligament, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":891.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace metal bands KAFO-AFO, calf or distal thigh","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4090","description":"Replace metal bands KAFO-AFO, calf or distal thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":92.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Automatic grasp feature, addition to upper limb electric prosthetic terminal device","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6881","description":"Automatic grasp feature, addition to upper limb electric prosthetic terminal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3685.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3760","description":"ELBOW ORTHOSIS ADJ POS LOCKING JOINT PREFAB ITEM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":409.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3807","description":"WRIST HAND FINGR ORTHOS W/O JNT PREFAB CSTM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":204.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace quadrilateral socket brim, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4020","description":"Replace quadrilateral socket brim, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":946.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Elbow-wrist-hand orthotic (EWHO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3763","description":"Elbow-wrist-hand orthotic (EWHO), rigid, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":630.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, nonmolded lacer, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2320","description":"Addition to lower extremity, nonmolded lacer, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":212.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ABVE ELB OTTO BOCK/=SWITCH CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6950","description":"ABVE ELB OTTO BOCK/=SWITCH CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9156.68,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), abdominal pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1270","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), abdominal pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":66.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0455","description":"TLSO FLEXIBLE SC JUNCT TO T-9 PREFAB OFF SHELF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":177.26,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Sole wedge, outside sole","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3360","description":"Sole wedge, outside sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.04,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, extended steel shank","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2360","description":"Addition to lower extremity, extended steel shank","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":59.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5940","description":"Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":500.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, endoskeletal system, above knee, knee disarticulation, 4-bar linkage, with friction swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5611","description":"Addition to lower extremity, endoskeletal system, above knee, knee disarticulation, 4-bar linkage, with friction swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1479.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, wood socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5639","description":"Addition to lower extremity, below knee, wood socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1311.47,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), anterior thoracic extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1220","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), anterior thoracic extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":254.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar-sacral orthotic (LSO), full corset","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0976","description":"Lumbar-sacral orthotic (LSO), full corset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":137.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"AFO RIG ANT TIB TCF/= OTS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1933","description":"AFO RIG ANT TIB TCF/= OTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":802.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADDITION ENDOSKLETAL KNEE-SHIN","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5841","description":"ADDITION ENDOSKLETAL KNEE-SHIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2245.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2060","description":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":529.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6400","description":"Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2479.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO), scoliosis orthotic, cover for upright, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1120","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO), scoliosis orthotic, cover for upright, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":34.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6711","description":"Terminal device, hook, mechanical, voluntary opening, any material, any size, lined or unlined, pediatric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":606.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PART HAND FINGER METACAR AMP","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6028","description":"PART HAND FINGER METACAR AMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1324.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Initial, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5500","description":"Initial, below knee PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1179.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1610","description":"HIP ORTHOSIS ABDUCTION CONTRL FLEXIBLE PREFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":41.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Nasal septal prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8047","description":"Nasal septal prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1391.23,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"HALLUX-VALGUS NIGHT DYN SPLNT PRFAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3100","description":"HALLUX-VALGUS NIGHT DYN SPLNT PRFAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":38.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger, 6 volt, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7362","description":"Battery charger, 6 volt, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":256.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, shoulder lock mechanism, external powered actuator","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6648","description":"Upper extremity addition, shoulder lock mechanism, external powered actuator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2932.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"WHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3905","description":"WHO INCL 1/MORE NONTORSION JOINTS CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":811.97,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0649","description":"LSO SAGITTAL-CORONAL CONTROL RIGD POST PANELS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":146.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder disarticulation, passive restoration (shoulder cap only)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6320","description":"Shoulder disarticulation, passive restoration (shoulder cap only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1569.11,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, silicone or equal, with integral adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8031","description":"Breast prosthesis, silicone or equal, with integral adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":296.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6885","description":"Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2924.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace high roll cuff","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4060","description":"Replace high roll cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":273.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2035","description":"Knee-ankle-foot orthotic (KAFO), full plastic, static (pediatric size), without free motion ankle, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":158.51,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot, arch support, removable, premolded, longitudinal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3040","description":"Foot, arch support, removable, premolded, longitudinal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":42.34,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ELB DISARTIC OTTO BOCK/=MYOELEC CNTRL TERM DEVC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6945","description":"ELB DISARTIC OTTO BOCK/=MYOELEC CNTRL TERM DEVC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9575.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy speaking valve","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8501","description":"Tracheostomy speaking valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":110.91,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5826","description":"Addition, endoskeletal knee-shin system, single axis, hydraulic swing phase control, with miniature high activity frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2862.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0150","description":"Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":106.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2070","description":"Hip-knee-ankle-foot orthotic (HKAFO), torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":116.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2220","description":"Addition to lower extremity, dorsiflexion and plantar flexion assist/resist, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":80.06,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5812","description":"Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":519.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Truss, addition to standard pad, scrotal pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8330","description":"Truss, addition to standard pad, scrotal pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":45.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic full leg splint, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4370","description":"Pneumatic full leg splint, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":162.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-facial prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8044","description":"Hemi-facial prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4207.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3000","description":"Foot insert, removable, molded to patient model, UCB type, Berkeley shell, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":282.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"STATIC/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4396","description":"STATIC/DYNAMIC ANK FOOT ORTHOSIS PREFAB CSTM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":150.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3916","description":"Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":435.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, manual lock","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5710","description":"Addition, exoskeletal knee-shin system, single axis, manual lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":347.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3660","description":"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":88.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, limited ankle motion, each joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2200","description":"Addition to lower extremity, limited ankle motion, each joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":42.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, total contact","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5637","description":"Addition to lower extremity, below knee, total contact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":338.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ANK SYMES MLD PT MDL SACH FT REPL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5703","description":"ANK SYMES MLD PT MDL SACH FT REPL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2135.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Sole wedge, between sole","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3370","description":"Sole wedge, between sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SACROILIAC ORTHOTIC FLEXIBLE CUSTOM FABRICATED","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0622","description":"SACROILIAC ORTHOTIC FLEXIBLE CUSTOM FABRICATED","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":222.65,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6580","description":"PREP WRST DISRTC/BELW ELB 1 WALL PLSTC SCKT MOLD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1438.82,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD EXO KN-SHIN PC FRICT SWG CNTRL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5718","description":"ADD EXO KN-SHIN PC FRICT SWG CNTRL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":836.45,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, below knee, flexible protective outer surface covering system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5962","description":"Addition, endoskeletal system, below knee, flexible protective outer surface covering system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":539.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, heavy-duty control cable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6660","description":"Upper extremity addition, heavy-duty control cable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":84.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"UE ADD EXT POWER MYOEL","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6700","description":"UE ADD EXT POWER MYOEL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":22132.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot, arch support, nonremovable, attached to shoe, metatarsal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3080","description":"Foot, arch support, nonremovable, attached to shoe, metatarsal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, femoral length sock, fracture or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2850","description":"Addition to lower extremity orthotic, femoral length sock, fracture or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert, removable, formed to patient foot, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3030","description":"Foot insert, removable, formed to patient foot, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":68.66,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electronic wrist rotator, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7259","description":"Electronic wrist rotator, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2934.44,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, trapezius sling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1070","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, trapezius sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":77.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/O LOCK MECH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6695","description":"ADD UP EXT PROS BELW/ABVE ELB CSTM W/O LOCK MECH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":511.28,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert, removable, molded to patient model, longitudinal arch support, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3010","description":"Foot insert, removable, molded to patient model, longitudinal arch support, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":156.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8001","description":"Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":113.08,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5976","description":"All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":648.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to terminal device, modifier wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6805","description":"Addition to terminal device, modifier wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":366.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow, molded socket, flexible elbow hinge, triceps pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6100","description":"Below elbow, molded socket, flexible elbow hinge, triceps pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2356.19,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Additions to lower extremity, below knee, knee joints, single axis, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5676","description":"Additions to lower extremity, below knee, knee joints, single axis, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":332.72,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, removable medial brim suspension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5672","description":"Addition to lower extremity, below knee, removable medial brim suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":273.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"All lower extremity prostheses, combination single axis ankle and flexible keel foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5975","description":"All lower extremity prostheses, combination single axis ankle and flexible keel foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":417.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, tibial length sock, fracture or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2840","description":"Addition to lower extremity orthotic, tibial length sock, fracture or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, pelvic control, band and belt, bilateral","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2640","description":"Addition to lower extremity, pelvic control, band and belt, bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":386.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot, arch support, nonremovable, attached to shoe, longitudinal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3070","description":"Foot, arch support, nonremovable, attached to shoe, longitudinal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":28.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, split flat caliper stirrups and plate attachment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2230","description":"Addition to lower extremity, split flat caliper stirrups and plate attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":66.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2800","description":"Addition to lower extremity orthotic, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":91.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5855","description":"Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":283.57,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5682","description":"Addition to lower extremity, below knee, thigh lacer, gluteal/ischial, molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":598.59,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5960","description":"Addition, endoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1175.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, collar, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0170","description":"Cervical, collar, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":555.81,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Clubfoot wedge","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3380","description":"Clubfoot wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":44.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ENDO KNEE SHIN SINGLE AXIS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5827","description":"ENDO KNEE SHIN SINGLE AXIS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5753.36,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), lateral trochanteric pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1290","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), lateral trochanteric pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":67.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, ring flange, plastic or leather, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1110","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, ring flange, plastic or leather, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":220.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0467","description":"TLSO SAGITTAL CONTRL RIGD FRAME PREFAB OFF SHELF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":198.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8605","description":"Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, anal canal, 1 ml, includes shipping and necessary supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":645.6,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, above knee, flexible protective outer surface covering system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5964","description":"Addition, endoskeletal system, above knee, flexible protective outer surface covering system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":936.07,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6715","description":"Terminal device, multiple articulating digit, includes motor(s), initial issue or replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2845.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Immediate postsurgical or early fitting, each additional cast change and realignment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6386","description":"Immediate postsurgical or early fitting, each additional cast change and realignment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":491.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of an orthosis from one shoe to another, solid stirrup, new","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3630","description":"Transfer of an orthosis from one shoe to another, solid stirrup, new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":90.38,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe addition, insole, rubber","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3510","description":"Orthopedic shoe addition, insole, rubber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":26.32,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"LUMBAR-SCARAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0628","description":"LUMBAR-SCARAL ORTHOSIS FLEXIBLE PREFAB OFF SHELF","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":42.89,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthotic (KO), without knee joint, rigid, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1834","description":"Knee orthotic (KO), without knee joint, rigid, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":757.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, Symes type, medial opening socket","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5636","description":"Addition to lower extremity, Symes type, medial opening socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":311.93,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Nasal prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8040","description":"Nasal prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2505.56,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace nonmolded calf lacer, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4055","description":"Replace nonmolded calf lacer, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":230.4,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6050","description":"Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2034.86,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5790","description":"Addition, exoskeletal system, above knee, ultra-light material (titanium, carbon fiber or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":660.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, harness, (e.g., figure of eight type), single cable design","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6675","description":"Upper extremity addition, harness, (e.g., figure of eight type), single cable design","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":124.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Terminal device, hook or hand, heavy-duty, mechanical, voluntary opening, any material, any size, lined or unlined","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6721","description":"Terminal device, hook or hand, heavy-duty, mechanical, voluntary opening, any material, any size, lined or unlined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2120.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, socket insert, below knee (Kemblo, Pelite, Aliplast, Plastazote or equal)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5655","description":"Addition to lower extremity, socket insert, below knee (Kemblo, Pelite, Aliplast, Plastazote or equal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":313.33,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"ADD LW EXT ORTH SFT INTRFC ABV KNEE","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2830","description":"ADD LW EXT ORTH SFT INTRFC ABV KNEE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":99.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Vascular graft material, synthetic, implant","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8670","description":"Vascular graft material, synthetic, implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":511.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"AFO RIG ANT TIB TCF/= CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1932","description":"AFO RIG ANT TIB TCF/= CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":802.79,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5160","description":"Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3507.09,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TRANSCARPAL/MC/PART HAND DISARTICULATION PROS","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6026","description":"TRANSCARPAL/MC/PART HAND DISARTICULATION PROS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3614.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical, multiple post collar, occipital/mandibular supports, adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0180","description":"Cervical, multiple post collar, occipital/mandibular supports, adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":349.54,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace molded thigh lacer, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4040","description":"Replace molded thigh lacer, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":415.95,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, above knee or knee disarticulation, pelvic joint","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5696","description":"Addition to lower extremity, above knee or knee disarticulation, pelvic joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":184.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Axillary crutch extension","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0978","description":"Axillary crutch extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":165.9,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5858","description":"Addition to lower extremity prosthesis, endoskeletal knee shin system, microprocessor control feature, stance phase only, includes electronic sensor(s), any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":16752.35,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Interscapular thoracic, passive restoration (complete prosthesis)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6360","description":"Interscapular thoracic, passive restoration (complete prosthesis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2924.58,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8691","description":"Auditory osseointegrated device, external sound processor, excludes transducer/actuator, replacement only, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1552.3,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5724","description":"Addition, exoskeletal knee-shin system, single axis, fluid swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1726.12,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5250","description":"Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":5088.64,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6646","description":"Upper extremity addition, shoulder joint, multipositional locking, flexion, adjustable abduction friction control, for use with body powered or external powered system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2842.96,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1000","description":"Cervical-thoracic-lumbar-sacral orthotic (CTLSO) (Milwaukee), inclusive of furnishing initial orthotic, including model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1749.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), anterior ASIS pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1250","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), anterior ASIS pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":62.27,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7404","description":"Addition to upper extremity prosthesis, above elbow disarticulation, acrylic material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":501.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Heel wedge, SACH","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3340","description":"Heel wedge, SACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":76.7,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace leather cuff KAFO, proximal thigh","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4100","description":"Replace leather cuff KAFO, proximal thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":111.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replacement, socket, hip disarticulation, including hip joint, molded to patient model","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5702","description":"Replacement, socket, hip disarticulation, including hip joint, molded to patient model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4004.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hand finger orthotic (HFO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3913","description":"Hand finger orthotic (HFO), without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":221.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to upper extremity orthotic, sock, fracture or equal, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3995","description":"Addition to upper extremity orthotic, sock, fracture or equal, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":36.77,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, socket insert, multidurometer, below knee","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5665","description":"Addition to lower extremity, socket insert, multidurometer, below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":470.13,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2036","description":"Knee-ankle-foot orthotic (KAFO), full plastic, double upright, with or without free motion knee, with or without free motion ankle, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2132.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6380","description":"IMMED POSTSURG RIGD DRSG 1 CAST CHG WRST DISRTC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1271.31,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7190","description":"Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":9248.52,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, axilla sling","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1010","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, axilla sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":57.84,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, thoracic control, lateral support uprights","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2680","description":"Addition to lower extremity, thoracic control, lateral support uprights","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":168.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6570","description":"Interscapular thoracic, molded socket, endoskeletal system, including soft prosthetic tissue shaping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":4279.55,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6880","description":"Electric hand, switch or myoelectric controlled, independently articulating digits, any grasp pattern or combination of grasp patterns, includes motor(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":21536.25,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Above elbow, molded double wall socket, internal locking elbow, forearm","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6250","description":"Above elbow, molded double wall socket, internal locking elbow, forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2598.43,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert, removable, molded to patient model, silicone gel, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3003","description":"Foot insert, removable, molded to patient model, silicone gel, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":156.78,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity additions, single pivot hinge, pair","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6605","description":"Upper extremity additions, single pivot hinge, pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":226.75,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Midfacial prosthesis, provided by a nonphysician","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8041","description":"Midfacial prosthesis, provided by a nonphysician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3020.02,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4398","description":"Foot drop splint, recumbent positioning device, prefabricated, off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":69.5,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), Milwaukee type superstructure","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1230","description":"Addition to thoracic-lumbar-sacral orthotic (TLSO), (low profile), Milwaukee type superstructure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":653.21,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace quadrilateral socket brim, custom fitted","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4030","description":"Replace quadrilateral socket brim, custom fitted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":580.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity orthotic, drop lock retainer, each","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2785","description":"Addition to lower extremity orthotic, drop lock retainer, each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":32.17,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5614","description":"Addition to lower extremity, exoskeletal system, above knee-knee disarticulation, 4 bar linkage, with pneumatic swing phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1521.05,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6677","description":"Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":267.39,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Electric hand, switch or myoelectric controlled, adult","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7007","description":"Electric hand, switch or myoelectric controlled, adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":3598.98,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2350","description":"Addition to lower extremity, prosthetic type, (BK) socket, molded to patient model, (used for PTB, AFO orthoses)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1020.63,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"SEWHFO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3978","description":"SEWHFO ABDUCT PSTN THOR CMPNT&SUPP BAR CSTM FAB","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1624.1,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthotic), custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2000","description":"Knee-ankle-foot orthotic (KAFO), single upright, free knee, free ankle, solid stirrup, thigh and calf bands/cuffs (single bar 'AK' orthotic), custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":985.73,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0982","description":"Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":14.03,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, outrigger","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1080","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, outrigger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":47.69,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition, endoskeletal system, below knee, alignable system","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5910","description":"Addition, endoskeletal system, below knee, alignable system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":363.8,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"MULTIAX ROTATION ATTACHMENT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6038","description":"MULTIAX ROTATION ATTACHMENT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":258.14,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Finger orthotic (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3933","description":"Finger orthotic (FO), without joints, may include soft interface, custom fabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":174.67,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L3917","description":"HAND ORTHOSIS METACARPAL FX PREFAB CUSTOM FIT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":86.53,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6450","description":"Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":2848.85,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Knee-ankle-foot orthotic (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'AK' orthotic), without knee joint, custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2030","description":"Knee-ankle-foot orthotic (KAFO), double upright, free ankle, solid stirrup, thigh and calf bands/cuffs, (double bar 'AK' orthotic), without knee joint, custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1120.99,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Orthotic side bar disconnect device, per bar","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2768","description":"Orthotic side bar disconnect device, per bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":117.2,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthotic (HO), abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1686","description":"Hip orthotic (HO), abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1048.22,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0484","description":"TLSO TRIPLANAR 2 PIECE W/O INTERFCE LINER CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1640.48,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0486","description":"TLSO TRIPLANAR 2 PIECE W/INTERFCE LINER CSTM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":1744.18,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Replace nonmolded thigh lacer, for custom fabricated orthotic only","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L4045","description":"Replace nonmolded thigh lacer, for custom fabricated orthotic only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":282.71,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0456","description":"TLSO FLEXIBLE SC JUNCT SCAP SPINE PREFAB CUSTOM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":894.74,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]},
{"negotiation_arrangement":"ffs","name":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, lumbar bolster pad","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1030","description":"Addition to cervical-thoracic-lumbar-sacral orthotic (CTLSO) or scoliosis orthotic, lumbar bolster pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"fee schedule","negotiated_rate":54.83,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional"}],"provider_references":[1038215774]}]}]}
